Individual
JASON TROY LIHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
220 ESSIE DAVISON DR, CLARINDA, IA 51632-2915
(712) 542-2176
(712) 542-8297
Mailing address
PO BOX 217, CLARINDA, IA 51632-2625
(712) 542-2186
(712) 542-8311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
102258
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
D102258
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102258
STATE CRNA LICENSE
IA
Enumeration date
10/03/2006
Last updated
05/08/2014
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