Individual
LEE W FREEMAN
Active
Individual
LEE W FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
192489
NC
163WM0705X
Medical-Surgical Registered Nurse
192489
NC
367500000X
Certified Registered Nurse Anesthetist
192489
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
SRA-25014
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192489
RN LICENSE
NC
05
—
42070546
—
CO
05
—
8052573
—
NC
Enumeration date
07/19/2006
Last updated
06/10/2010
Update your record
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