Larry Dean Mellott, CRNA
NPI #1053932749 in Ephrata, Pennsylvania
Provider Information
- NPI Number
- 1053932749
- Entity Type
- Individual
- Name
- Larry Dean Mellott, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 4, 2020
- Last Updated
- Mar 27, 2025
Practice Location
- Address
- 169 MARTIN AVE
- City
- Ephrata
- State
- Pennsylvania
- ZIP Code
- 17522-1724
- Phone
- (717) 738-6618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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