Lebourdais, Audrey S

Lebourdais, Audrey S is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lebourdais, Audrey S can be contacted via phone (781) 744-8132.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-8132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 168258 Massachusetts

Profile Details

NPI number 1720184203
LBN Legal business name Lebourdais, Audrey S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Nov 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720184203 NPPES
Massachusetts Other P00118377 RAILROAD MEDICARE

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