Individual
ELIZA LACOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 SANDRA MURAIDA WAY, APT 13J, AUSTIN, TX 78703-4694
(435) 224-3953
Mailing address
111 SANDRA MURAIDA WAY, APT 13J, AUSTIN, TX 78703-4694
(435) 224-3953
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP133400
TX
Other
Enumeration date
07/28/2016
Last updated
03/08/2017
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