Individual
LYNN S KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4528 EVERGREEN ST, BELLAIRE, TX 77401-5120
(713) 667-7455
Mailing address
4528 EVERGREEN ST, BELLAIRE, TX 77401-5120
(713) 667-7445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
042716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002219601
—
TX
01
—
89839C
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/12/2005
Last updated
05/17/2010
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