Organization
B LANE APRN-CRNA
Active
Other names
Ozark Office Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI LYNN LANE CRNA (BUSINESS OWNER)
(479) 502-1591
Entity
Organization
Contact information
Practice address
6823 ISAACS ORCHARD RD, SPRINGDALE, AR 72762-6096
(479) 502-1591
Mailing address
2664 NE RIVERCREST RD, FAYETTEVILLE, AR 72701-2929
(479) 502-1591
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002958
AR
Other
Enumeration date
05/24/2017
Last updated
03/17/2018
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