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Individual

TREVOR A CAPRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
Mailing address
516 LAKEWOOD DR, CARROLL, IA 51401-3406
(712) 792-4066

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101296
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
D-099790
IA
367500000X
Certified Registered Nurse Anesthetist
R0098829
OK
367500000X
Certified Registered Nurse Anesthetist
R178084
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104665000
MN
Enumeration date
02/23/2007
Last updated
05/13/2015
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