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Organization

DICKINSON COUNTY ANESTHESIA SERVICES, PC

Active
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Organization

DICKINSON COUNTY ANESTHESIA SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA JOHNSON CRNA (OWNER)
(712) 336-1230
Entity
Organization

Contact information

Practice address
HWY 71 SOUTH, SPIRIT LAKE, IA 51360
(712) 336-1230
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0926642
IA
01
10299
BLUE CROSS OF IA
IA
Enumeration date
07/10/2006
Last updated
08/06/2008
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