Organization
TRI-STATE ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C LANHAM CRNA (PRESIDENT)
(513) 779-1270
Entity
Organization
Contact information
Practice address
8229 SWEET BRIAR CT, MIDDLETOWN, OH 45044
(513) 779-1270
Mailing address
8229 SWEET BRIAR CT, MIDDLETOWN, OH 45044
(513) 779-1270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0755580
—
OH
Enumeration date
01/10/2007
Last updated
08/22/2020
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