| Lawrence P Gage, CRNA | |
|
1221 Pine Grove Ave, Port Huron, MI 48060-3511 | |
| (810) 987-5000 | |
| (810) 985-2633 |
| Full Name | Lawrence P Gage |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1221 Pine Grove Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558315903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704111576 (Michigan) | Primary |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
| Entity Name | Michigan Interventional Pain Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861819161 PECOS PAC ID: 4385867266 Enrollment ID: O20140521002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence P Gage, CRNA 1221 Pine Grove Ave, Port Huron, MI 48060-3511 Ph: (810) 987-5000 | Lawrence P Gage, CRNA 1221 Pine Grove Ave, Port Huron, MI 48060-3511 Ph: (810) 987-5000 |
Philip Ross Lepine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
Mr. Todd D Boswell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-985-1550 Fax: 810-966-3104 | |
Patrina Quinn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 | |
David John Arden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2633 | |
Sherry Lynn Bombardo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-985-7000 Fax: 810-985-2633 | |
Carrie L Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 952-442-9770 Fax: 952-442-3620 | |
Lynn A Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 952-442-3620 |