Individual
MR. SHANE EUGENE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3001 GREENBAY ROAD, NORTH CHICAGO, IL 60064
(224) 610-4846
Mailing address
3001 GREENBAY ROAD, NORTH CHICAGO, IL 60064
(224) 610-4846
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001209585
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
0001209585
VA
Other
Enumeration date
02/23/2009
Last updated
03/29/2024
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