Individual
LILLIAN J KLAWITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(573) 884-2222
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
047276
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127254
BLUE SHIELD/BLUE CHOICE
ME
01
—
2001310
UNITED HEALTHCARE
MO
01
—
472760
HEALTHLINK
MO
Enumeration date
04/21/2006
Last updated
12/10/2007
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