Individual
LANCE JAMES OLIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5082
Mailing address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5082
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP07448
LA
367500000X
Certified Registered Nurse Anesthetist
RN118955
LA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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