Provider Demographics
NPI:1710672316
Name:LIGHTNING ANESTHESIA NURSING SERVICES, P.C.
Entity Type:Organization
Organization Name:LIGHTNING ANESTHESIA NURSING SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CRNA
Authorized Official - Prefix:
Authorized Official - First Name:TUYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:626-888-1215
Mailing Address - Street 1:950 KEMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91755-4026
Mailing Address - Country:US
Mailing Address - Phone:626-888-1215
Mailing Address - Fax:
Practice Address - Street 1:950 KEMPTON AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755-4026
Practice Address - Country:US
Practice Address - Phone:626-888-1215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty