Individual
LARRY LAYTON HUBER
Active
Individual
LARRY LAYTON HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704205153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4806712
—
MI
01
—
LH205153
BLUE SHIELD
MI
Enumeration date
03/01/2006
Last updated
11/15/2019
Update your record
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