Whalio Doctors

NPI 1972928778

Justin Lee, CRNA

Practitioner Certified Registered Nurse Anesthetist Leavenworth, KS

Practice location

Address
711 Marshall St, Leavenworth, KS 66048-3235
Phone
(913) 684-1100
Fax
(913) 684-1239
Mailing address
PO Box 410272, Kansas City, MO 64141-0272

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 557247 (KS)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 13072095072 (KS)

Registry record

NPI
1972928778
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Mar 2014
Record last updated
19 Jun 2014

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.