Ryan, Robert Lawrence

Ryan, Robert Lawrence is an individual health care provider with primary practice located at 7580 Clarington Cv , Southaven MS 38671-5657. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ryan, Robert Lawrence can be contacted via phone (662) 349-9136.

Contact Information

Primary practice address
7580 Clarington Cv Southaven MS 38671-5657
Phone: (662) 349-9136
Fax: (662) 349-0677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R691259 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN0000009584 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C00318 CRNA Arkansas

Profile Details

NPI number 1215039979
LBN Legal business name Ryan, Robert Lawrence
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215039979 NPPES
Mississippi MEDICAID 00122694

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