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Individual

MR. LEWIS LAMAR BARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
200 N 400 E, PANGUITCH, UT 84759-0389
(435) 676-8811
(435) 676-2679
Mailing address
200 N 400 E, PANGUITCH, UT 84759-0389
(435) 676-8811
(435) 676-2679

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
3268734406
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3268734406
LICENSE #
UT
01
33257
ID#
UT
Enumeration date
08/24/2006
Last updated
07/08/2007
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