NPI 1154329837

Lyle Edgar Gates, CRNA

Practitioner Certified Registered Nurse Anesthetist Spokane Valley, WA

Practice location

Address: 12606 E Mission Ave, Spokane Valley, WA 99216-3421
Phone: (509) 473-5723
Mailing address: PO Box 440, Valleyford, WA 99036-0440

Registered specialties (3)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence AP30001278 (WA)

Other Nurse Anesthetist, Certified Registered providers in Washington →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 09907743CRNA (OR)

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence RNA-488 (ID)

Registry record

NPI: 1154329837
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2005
Record last updated: 24 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.