Samuel Lawrence Clements, CRNA
Nurse Anesthetist, Certified Registered in La Crosse, WI. Individual provider (NPI-1).
NPI number1487028221
StatusActive
Last updated in NPPESJun 4, 2024
Details
- NPI
- 1487028221
- Entity type
- Individual (NPI-1)
- Name
- Samuel Lawrence Clements
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2015
- Certification date
- Jun 4, 2024
- Last updated
- Jun 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7613 | WI | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA 1856 | MN |
Practice location
700 West Ave SLa Crosse, WI 54601-4783
Phone 608-785-0940
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 608-785-0940
Other practice locations
4572 County Road 61
Moose Lake, MN 55767-9401
Moose Lake, MN 55767-9401
Phone 218-485-5566 · Fax 218-485-5555
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All 75 Certified Registered Nurse Anesthetist providers in La Crosse · All 4,035 providers in La Crosse
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