Individual
MR. LARRY D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-3140
Mailing address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-3140
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
38473
IA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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