Whalio Doctors

NPI 1184734634

Jackie K Lauer, CRNA

Practitioner Certified Registered Nurse Anesthetist Bloomfield, IA

Practice location

Address
505 W Jefferson St, Bloomfield, IA 52537-1515
Phone
(641) 664-3602
Fax
(641) 664-3765
Mailing address
PO Box 54, Bloomfield, IA 52537-0054

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence D095191 (IA)

Registry record

NPI
1184734634
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Aug 2006
Record last updated
8 Jul 2007

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.