Provider Demographics
NPI:1326227455
Name:LEWOC, RAYNA JEANNE (CRNA, APRN)
Entity Type:Individual
Prefix:MRS
First Name:RAYNA
Middle Name:JEANNE
Last Name:LEWOC
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Gender:F
Credentials:CRNA, APRN
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Mailing Address - Street 1:80 SEYMOUR ST
Mailing Address - Street 2:HARTFORD ANESTHESIOLOGY ASSOCIATES
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-3315
Mailing Address - Country:US
Mailing Address - Phone:860-545-2117
Mailing Address - Fax:
Practice Address - Street 1:80 SEYMOUR ST
Practice Address - Street 2:HARTFORD ANESTHESIOLOGY ASSOCIATES
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3315
Practice Address - Country:US
Practice Address - Phone:860-545-2117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT066608367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered