Provider Demographics
NPI:1447588066
Name:LAJOHN, STEPHANIE ELAINE (CRNA)
Entity Type:Individual
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First Name:STEPHANIE
Middle Name:ELAINE
Last Name:LAJOHN
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Gender:F
Credentials:CRNA
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Mailing Address - Street 1:P O BOX 8500
Mailing Address - Street 2:LOCKBOX #7642 SHRINERS HOSPITALS FOR CHILDREN
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-7642
Mailing Address - Country:US
Mailing Address - Phone:813-281-8478
Mailing Address - Fax:813-281-8113
Practice Address - Street 1:1645 WEST 8TH STREET
Practice Address - Street 2:SHRINERS HOSPITALS FOR CHILDREN ERIE
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-5097
Practice Address - Country:US
Practice Address - Phone:814-875-8700
Practice Address - Fax:814-875-8756
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2012-09-28
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Provider Licenses
StateLicense IDTaxonomies
PARN283825L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered