Individual
MR. LEE WARNER ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 N. HIGLEY ROAD, GILBERT, AZ 85234-1604
(480) 543-2600
(480) 981-2407
Mailing address
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1100
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001463
—
AZ
Enumeration date
10/22/2014
Last updated
12/10/2015
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