Individual
LUCIA E SCARPACE MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(952) 442-9770
Mailing address
DEPARTMENT 4676, CAROL STREAM, IL 60122-4676
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704202435
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104314332
—
MI
01
—
430072335
TRICARE
MI
01
—
LS202435
BLUE CROSS
MI
Enumeration date
08/18/2005
Last updated
07/25/2011
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