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Individual

EARL D LOSEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
251 SKAGGS RD, BRANSON, MO 65616-2031
(800) 277-8151
Mailing address
PO BOX 842120, KANSAS CITY, MO 64184-2120
(417) 239-3392
(417) 239-3394

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
095981
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159086001
AR
01
194111
BCBS
MO
05
200100540A
OK
01
20174319965615A003
TRICARE
MO
01
20931
COX HEALTH
MO
01
741187
HEALTHLINK
MO
05
915889117
MO
01
P00198011
RAILROAD
MO
Enumeration date
09/14/2005
Last updated
05/21/2009
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