Individual
MARY LYNN LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MSN
Contact information
Practice address
640 S 19TH ST, NEVADA, IA 50201-2902
(515) 382-2111
(515) 382-7766
Mailing address
640 S 19TH ST, NEVADA, IA 50201-2902
(515) 382-2111
(515) 382-7766
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D099081
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54599
WELLMARK BCBS
IA
Enumeration date
06/27/2007
Last updated
07/21/2022
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