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Individual

LANCE PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, APRN, CRNA

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
5949 TULEYS CREEK DR, FORT WORTH, TX 76137-7060
(979) 209-9924

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
136848
TX

Other

Enumeration date
02/05/2024
Last updated
02/05/2024
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