Individual
LAWRENCE I INGBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 COUNTRY CLUB RD STE 220B, EUGENE, OR 97401-6090
(541) 342-5012
Mailing address
3855 WALSH ST, JACKSONVILLE, FL 32205-9223
(904) 686-5017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN3023222
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
200960010CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
3023222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236969908B
—
GA
Enumeration date
02/26/2007
Last updated
07/17/2019
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