Individual
JANICE A SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(800) 277-8151
(336) 841-6217
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(800) 277-8151
(336) 841-6217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079178
MO
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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