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LYLE JACKSON, CRNA
CRNA
Orthopedic Registered Nurse
NPI: 1225597305IndividualAccepts Medicare
Specialties, Licenses & Credentials
Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered
Code: 367500000X
125895(VA)D183481(IA)
Orthopedic Registered NursePrimary
Registered Nurse — Orthopedic
Code: 163WX0800X
62439(ID)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 2325 CORONADO ST
IDAHO FALLS, ID 83404 - Phone
- (208) 557-2700
Quick Facts
- NPI
- 1225597305
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 7
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