Individual
SAMUEL LINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003
(719) 584-4045
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94571
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0994096-CRNA
CO
Other
Enumeration date
07/14/2015
Last updated
06/17/2025
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