Individual
LOURDES SOFIA AVINAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2222
Mailing address
PO BOX 178, GARDEN CITY, KS 67846-0178
(904) 729-9614
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9331281
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
43557567122
KS
Other
Enumeration date
07/19/2013
Last updated
03/17/2018
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