Individual
MR. LARRY DUANE RAWLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
400 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2028
(618) 498-8420
Mailing address
301 HAWBROOK PL, JERSEYVILLE, IL 62052-1018
(618) 498-9014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209-000763
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 041-167880
IL
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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