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Individual

MRS. DONNA LAMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4100 JERRY MURPHY RD, PUEBLO, CO 81001-1046
(719) 545-9715
(719) 545-2054
Mailing address
4100 JERRY MURPHY RD, PUEBLO, CO 81001-1046
(719) 545-9715
(719) 545-2054

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
64521
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01370485
CO
01
430053663
RR MEDICARE PROVIDER NUMB
CO
01
LADL0527
BLUE CROSS BLUE SHIELD
CO
Enumeration date
06/03/2006
Last updated
05/08/2008
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