Individual
MRS. ELISE LOCKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ANES DEPT, 3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-3315
Mailing address
6269 ROSEWOOD ST, MISSION, KS 66205-3010
(913) 909-6224
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4355049041
KS
Other
Enumeration date
07/18/2006
Last updated
12/07/2012
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