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Individual

BEN LAWSON STAPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2444
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3015760
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3015760
KENTUCKY BOARD OF NURSING APRN LICENSE
KY
Enumeration date
01/27/2021
Last updated
01/27/2021
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