Individual
MR. NEIL LAVANCHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 651-5562
Mailing address
1144 COUNTY. RD. 347, JACKSON, MO 63755-7476
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079251
MO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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