Individual
LANCE R FUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 469-5000
Mailing address
565 COAL VALLEY RD, PITTSBURGH, PA 15236-3723
(412) 469-5831
(412) 831-5495
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN618169
PA
Other
Enumeration date
04/09/2014
Last updated
10/08/2020
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