Wallace L Blore, CRNA
NPI #1932146644 in Lititz, Pennsylvania
Provider Information
- NPI Number
- 1932146644
- Entity Type
- Individual
- Name
- Wallace L Blore, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1500 HIGHLANDS DR
- City
- Lititz
- State
- Pennsylvania
- ZIP Code
- 17543-7694
- Phone
- (717) 625-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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