| Lydia Marie Laser, DNP, APRN, CRNA | |
|
3625 University Blvd S, Jacksonville, FL 32216-4207 | |
| (904) 702-6111 | |
| Not Available |
| Full Name | Lydia Marie Laser |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3625 University Blvd S, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528877123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9443824 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 11037321 (Florida) | Primary |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Marie Laser, DNP, APRN, CRNA 4713 French St, Jacksonville, FL 32205-5001 Ph: (860) 227-2004 | Lydia Marie Laser, DNP, APRN, CRNA 3625 University Blvd S, Jacksonville, FL 32216-4207 Ph: (904) 702-6111 |
Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855 | |
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111 | |
Michelle Alicia Coy, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214 Phone: 904-542-7300 | |
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220 |