Organization
PROFESSIONAL ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LECATES CRNA (PRESIDENT/OWNER)
(336) 472-7289
Entity
Organization
Contact information
Practice address
1261 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(910) 323-1680
Mailing address
PO BOX 14489, ARCHDALE, NC 27263-7489
(888) 447-7220
(336) 884-1643
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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