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Individual

BRIAN LOTHROP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3121
Mailing address
1009 LEAVENWORTH ST APT 304, OMAHA, NE 68102-2923

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124635
IA
367500000X
Certified Registered Nurse Anesthetist
101341
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
D124635
IA

Other

Enumeration date
04/18/2016
Last updated
06/02/2025
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