Individual
MISS LANA GRIGORIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
(856) 968-8239
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR13178600
NJ
367H00000X
Anesthesiologist Assistant
26NR13178600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NJ00235700
STATE LICENSE
NJ
Enumeration date
08/24/2009
Last updated
03/07/2018
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