Organization
PRIME ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE MORELLO CRNA (AUTHORIZED OFFICIAL)
(985) 707-3343
Entity
Organization
Contact information
Practice address
3636 S I 10 SERVICE RD W STE 204, METAIRIE, LA 70001-6418
(985) 707-3343
Mailing address
PO BOX 70, LAKE FOREST, IL 60045-0070
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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