Individual
KIMBERLY THOMAS LANCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9182235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305330000
—
FL
01
—
7988906
AETNA
FL
01
—
G3251
BCBS
FL
Enumeration date
05/18/2006
Last updated
12/21/2010
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