Individual
BRAYSON LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 CROWLEY RAYNE HWY, CROWLEY, LA 70526-8202
(337) 788-6407
(337) 788-6598
Mailing address
1305 CROWLEY RAYNE HWY, CROWLEY, LA 70526-8202
(337) 788-6407
(337) 788-6598
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN103384
LA
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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