Individual
MRS. LANA ELAINE WANSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
(573) 634-2033
Mailing address
11495 SOUTHPOINT LN, WEST FRANKFORT, IL 62896-4976
(618) 713-6441
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
137303
MO
367500000X
Certified Registered Nurse Anesthetist
209000788
IL
Other
Enumeration date
07/26/2006
Last updated
11/25/2024
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