Individual
BETHANY LAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-6958
Mailing address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143278
LA
367500000X
Certified Registered Nurse Anesthetist
206908
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN143278
LA
Other
Enumeration date
05/31/2019
Last updated
08/07/2021
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