Organization
LAFAYETTE ANESTHESIA GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SINISCALCHI CRNA (PRESIDENT)
(347) 393-0765
Entity
Organization
Contact information
Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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