Individual
MR. SAMUEL LANCE OGLE
Active
Individual
MR. SAMUEL LANCE OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C00837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122249701
—
AR
01
—
1710946736
BAPTIST HEALTH SERVICES GROUP, INC.
AR
01
—
5S391
ARKANSAS BLUE CROSS BLUE SHIELD
AR
Enumeration date
03/20/2006
Last updated
12/02/2025
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