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Organization

LETHEON ANESTHESIA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYLER BORNE CRNA (MEMBER)
(985) 665-6639
Entity
Organization

Contact information

Practice address
9001 SUMMA AVE STE 346, BATON ROUGE, LA 70809-3779
(833) 774-6352
Mailing address
19041 TURNBERRY CT, BATON ROUGE, LA 70809-6607
(985) 665-6639

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
05/27/2021
Last updated
03/10/2025
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