Provider Demographics
NPI:1225026974
Name:GANDER, LOIS SHEPLER (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:SHEPLER
Last Name:GANDER
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 1:2249 CLAIRMONT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3251
Mailing Address - Country:US
Mailing Address - Phone:412-257-1220
Mailing Address - Fax:412-257-1335
Practice Address - Street 1:2249 CLAIRMONT DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-3251
Practice Address - Country:US
Practice Address - Phone:412-257-1220
Practice Address - Fax:412-257-1335
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2536252367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered