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Individual

MR. LOREN KEN ZEITZ

Active
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Individual

MR. LOREN KEN ZEITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RNA68
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
N-10526
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8040130300
ID
01
N-10526
IDAHO LICENSE
ID
Enumeration date
06/14/2006
Last updated
06/14/2011
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