Provider Demographics
NPI:1043264617
Name:SWEARINGEN, LOIS A (CRNA)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:A
Last Name:SWEARINGEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 E PLUMB LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3504
Mailing Address - Country:US
Mailing Address - Phone:775-747-5050
Mailing Address - Fax:775-326-8299
Practice Address - Street 1:80 ALAMOS AVE
Practice Address - Street 2:#101
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3885
Practice Address - Country:US
Practice Address - Phone:559-292-1833
Practice Address - Fax:559-292-1883
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAZZZ20547Z367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered