| Laura M Lane, CRNA | |
|
580 W College Ave, Marquette, MI 49855-2705 | |
| (906) 225-3406 | |
| (906) 225-3094 |
| Full Name | Laura M Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 580 W College Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497737217 | NPI | - | NPPES |
| 104563202 | Medicaid | MI | |
| P00108337 | Other | MI | RAILROAD MEDICARE PIN |
| LL125107 | Other | MI | BLUESHIELD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704125107 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201901511CRNA (Oregon) | Primary |
| Entity Name | Kalamazoo Anesthesiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078 |
| Entity Name | Aspirus Keweenaw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
| Entity Name | Munising Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629120415 PECOS PAC ID: 9830170372 Enrollment ID: O20040528000989 |
| Entity Name | Saginaw Anesthesia Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205083615 PECOS PAC ID: 5890855019 Enrollment ID: O20081210000101 |
| Entity Name | Acquisition Bell Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699101345 PECOS PAC ID: 3971730987 Enrollment ID: O20140311000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura M Lane, CRNA 3138 N Lakeshore Blvd, Marquette, MI 49855-2025 Ph: (906) 226-6008 | Laura M Lane, CRNA 580 W College Ave, Marquette, MI 49855-2705 Ph: (906) 225-3406 |
Peter Skellenger, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 714 Spruce St, Apt #e, Marquette, MI 49855 Phone: 906-399-3611 | |
Sandra L Wachter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Janet M Simula, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Kenneth L Mcneely, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Lisa A Kuopus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3406 Fax: 906-225-3094 | |
Joseph Morris Holcomb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3595 | |
Laura V Brouillette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-228-9440 |