Individual
DIANA M LWANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1889
(212) 939-3856
Mailing address
276 GRAND CONCOURSE APT 1217, BRONX, NY 10451-5854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00989700
NJ
Other
Enumeration date
06/16/2019
Last updated
11/13/2023
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