Individual
MRS. LASHONDA TIYON TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3663 WOODWARD AVE, 200, DETROIT, MI 48201-2445
(313) 993-0246
Mailing address
1046 18TH ST, DETROIT, MI 48216-2066
(225) 772-2270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
710940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199856901
—
TX
01
—
89774U
BCBS
TX
01
—
P00686279
RAILROAD
TX
Enumeration date
12/23/2008
Last updated
11/07/2012
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