Individual
SAMUELA G LOUZADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3045 S NATIONAL AVE, SUITE 101, SPRINGFIELD, MO 65804-4268
(417) 447-3910
Mailing address
1219 W OAKVILLE RD, SPRINGFIELD, MO 65810-1687
(417) 888-0428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
047013
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918243312
—
MO
Enumeration date
07/31/2006
Last updated
09/30/2008
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