Individual
MICHAEL LEE LOUDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 E ADAMS ST RM 4143, SYRACUSE, NY 13210-1834
(315) 469-4891
(315) 464-4905
Mailing address
5784 WIDEWATERS PKWY, FLOOR 2, SYRACUSE, NY 13214-1890
(315) 469-1130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
535456
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
535456
NY
Other
Enumeration date
11/24/2013
Last updated
10/01/2024
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