Individual
LAURA BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 634-8111
Mailing address
318 OAK CREST DR, LUFKIN, TX 75901-8841
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1044752
TX
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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