Individual
LYNN GAY STUTEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2860
(713) 873-2864
Mailing address
9412 SUNPERCH CT, PEARLAND, TX 77584-2886
(281) 412-6794
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109728904
—
TX
Enumeration date
09/02/2006
Last updated
08/18/2011
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