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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LONNIE W. CLARK, CRNA

Active Sole Proprietor

LONNIE W. CLARK, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in WOODLAND PARK, Colorado. NPI 1598777450 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · WOODLAND PARK, CO

Registration Details

NPI Number
1598777450
Provider Type
Individual
Gender
Male
NPI Issued
Aug 12, 2006 (19.969863556541 yrs)
Last Updated
Dec 9, 2020
License
690859 (TX)
Sole Proprietor
Yes

Practice Information

Address
16420 W US HIGHWAY 24
WOODLAND PARK, CO, 808638760
Browse CO providers · Browse ZIP 80863
Phone
8067903928
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in WOODLAND PARK, CO

Name Credential NPI
MR. BRIAN THOMAS FARSTAD CRNA 1629216437
RYAN BEZZANT CRNA 1649624917
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.