Individual
LOLOCK N NYANGWESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4075
(215) 672-4264
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(215) 442-5085
(215) 672-4264
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN552937
PA
Other
Enumeration date
09/30/2010
Last updated
06/21/2011
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