Individual
NATHAN ALLEN LAUCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5605 N MACARTHUR BLVD, STE. 220, IRVING, TX 75038-2617
(972) 714-0007
(972) 714-0009
Mailing address
5605 N MACARTHUR BLVD, STE. 220, IRVING, TX 75038-2617
(972) 714-0007
(972) 714-0009
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
682000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192438301
—
TX
01
—
192438302
MEDICAID CSHCN
TX
01
—
88743U
BCBS
TX
Enumeration date
01/14/2008
Last updated
07/10/2013
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