Organization
MARIPOSA ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH F LAZCANO (CRNA)
(804) 677-5659
Entity
Organization
Contact information
Practice address
11850 THOMAS MILL DR, GLEN ALLEN, VA 23059-4726
(800) 444-6110
Mailing address
921 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(800) 444-6110
(224) 255-5813
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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