Individual
JEFFREY PAUL ALLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Mailing address
PO BOX 122431, DEPT 2431, DALLAS, TX 75312-2431
(337) 480-8900
(337) 480-8901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN117173
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06561
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164821
—
LA
Enumeration date
05/31/2011
Last updated
04/30/2019
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