Individual
LAJONTEE DEMETRIEL WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-7232
Mailing address
1935 MEDICAL DISTRICT DR, DEPARTMENT OF ANESTHESIOLOGY, DALLAS, TX 75235-7701
(214) 456-6393
(214) 456-7232
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
713482
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
713482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
713482
LICENSE
TX
Enumeration date
11/19/2009
Last updated
03/21/2014
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