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LOREN CLAUSEN RN

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

Provider NPI: 1225167042

Provider Information:
 LOREN  CLAUSEN RN
Gender: M
Not Sole Proprietor

Practice Location:
350 LOUISIANA AVE  LIBBY, MT 59923-2130 US
Tel: 406-293-0100  Fax: --

Business Mailing Address:
350 LOUISIANA AVE  LIBBY, MT 59923-2130 US
Tel: 406-293-0100  Fax: --

NPI Information:
NPI: 1225167042
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
MT13008

Other Provider Identifiers:

IssuerNumberStateType
0431574MT05



American Medical Association 2012 taxonomy code information

Code: 367500000X

Type:

Classification:



Definition:



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