Individual
KATHLEEN A LAMAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, STE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
12062 SAHARA CIR, ROGERS, MN 55374-4765
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11036520
FL
367500000X
Certified Registered Nurse Anesthetist
R 156831-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137580600
—
MN
01
—
162M9ZA
BCBSMN
MN
Enumeration date
08/19/2005
Last updated
12/18/2024
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