Individual
LUCAS MARK SASALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, RN, BSN, MSN
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
Mailing address
230 HARRISON ST, KITTANNING, PA 16201-2155
(724) 859-3911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN633890
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
113439
PA
390200000X
Student in an Organized Health Care Education/Training Program
RN633890
PA
Other
Enumeration date
10/05/2016
Last updated
01/30/2017
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