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MR. RONALD LAVERN COCHRAN CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1245260173

Individual Registrant:
MR. RONALD LAVERN COCHRAN CRNA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
23500 US HIGHWAY 160  WALSENBURG, CO 81089-9524 US
Tel: 719-738-5100  Fax: --

Contact information for business:
6569 S CLAYTON ST  CENTENNIAL, CO 80121-2923 US
Tel: 720-314-0267  Fax: --

Registration Information:
NPI: 1245260173
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
CO34361
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
NMCS00213837

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
07343619CO05




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