Individual
LESA LORRAYNE RATHJEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-1222
Mailing address
407 KENDALL ST, SAN ANTONIO, TX 78212
(210) 875-7289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
673777
TX
Other
Enumeration date
11/09/2005
Last updated
09/26/2014
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