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Individual

JANE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015-6940
(717) 782-3282
Mailing address
361 ALEXANDER SPRING RD, CARLISLE, PA 17015-6940

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001260074
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN731531
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/09/2019
Last updated
01/29/2021
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