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Individual

ELISHUA LOLA BEA REINGOLD

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
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2025051172
MO

Other

Enumeration date
06/20/2024
Last updated
12/12/2025
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