Individual
LENAE R FROLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1720 UNIVERSITY DR S RT 1707, FARGO, ND 58103-4940
(701) 234-6259
Mailing address
1720 UNIVERSITY DR S RT 1707, FARGO, ND 58103-4940
(701) 234-6259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
D119298
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
R39877
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134393135
—
IA
05
—
17543
—
ND
01
—
P00623364
RR MEDICARE
IA
Enumeration date
04/22/2008
Last updated
07/08/2021
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