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Meadowlark Anesthesia, LLC

Nurse Anesthetist, Certified Registered in Lone Tree, CO. Organization (NPI-2).

NPI number1982302170
StatusActive
Last updated in NPPESFeb 17, 2023

Details

NPI
1982302170
Entity type
Organization (NPI-2)
Legal business name
Meadowlark Anesthesia, LLC
Organization subpart
No
Enumeration date
Feb 17, 2023
Certification date
Feb 17, 2023
Last updated
Feb 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered––Yes

Practice location

9218 Kimmer Dr Ste 101
Lone Tree, CO 80124-6733

Phone 303-623-2680 · Fax 952-442-3620

Mailing address

400 10th St E
Waconia, MN 55387-4552

Phone 952-442-9770 · Fax 952-442-3620

Authorized official

Christine N Tilbury
President
3035880078

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