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Individual

ANA ALICIA LAUTERSZTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7914
(813) 615-8134
Mailing address
PO BOX 861348, ORLANDO, FL 32886-1348
(813) 615-7914
(813) 615-8134

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2178142
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034816300
FL
01
430028314
RAILROAD MEDICARE
01
G1337
BCBS
FL
Enumeration date
12/08/2005
Last updated
10/23/2008
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