Individual
AMANDA LEE LINGENFELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Mailing address
4665 DOUGLAS CIR NW STE 100, CANTON, OH 44718-3673
(330) 499-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.12148-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3132925
—
OH
Enumeration date
01/20/2011
Last updated
04/03/2019
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