Individual
LAVONNE R CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-1873
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30003827
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1631HO
INDIVIDUAL BLUE SHIELD
WA
05
—
9613001
—
WA
01
—
RNA0010
ALASKA DSHS
WA
Enumeration date
03/02/2006
Last updated
05/14/2020
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