Organization
ELEVATE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARA KNOWLES (OWNER)
(208) 313-0428
Entity
Organization
Contact information
Practice address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 535-0440
(208) 535-0550
Mailing address
5094 E LINCOLN RD, IDAHO FALLS, ID 83401-5768
(203) 313-0428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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