Individual
LAWRENCE KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, MSN, CRNA
Contact information
Practice address
4096 E CLAXTON AVE, GILBERT, AZ 85297-4902
(480) 636-8668
(480) 636-8668
Mailing address
4096 E CLAXTON AVE, GILBERT, AZ 85297-4902
(480) 636-8668
(480) 636-8668
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
316241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316241
LICENSE
OH
Enumeration date
02/04/2008
Last updated
12/15/2009
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