Individual
TERRY LEE LEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
49 TUNNEL RD, STE 103, POTTSVILLE, PA 17901-0049
(570) 622-6520
(570) 622-6525
Mailing address
PO BOX 67, WESTON, PA 18256-0067
(570) 956-1523
(570) 384-4177
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN306828L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020960950001
—
PA
01
—
P00135538
RR MEDICARE
PA
01
—
P00736830
RR MEDICARE
PA
Enumeration date
08/10/2005
Last updated
04/27/2015
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