Lakes Advanced Pain Specialists Pllc
NPI #1730342601 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1730342601
- Entity Type
- Organization
- Organization Name
- Lakes Advanced Pain Specialists Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 9, 2008
- Last Updated
- Dec 4, 2015
Practice Location
- Address
- 10513 STONEBRIDGE TRL N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-9569
- Phone
- (612) 382-4613
Authorized Official
- Name
- MR. BRENT THOMAS KAPFER, CRNA
- Title
- CRNA
- Phone
- (612) 382-4613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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