Provider Demographics
NPI:1639440209
Name:CRAIG, LARA S (CRNA)
Entity type:Individual
Prefix:MRS
First Name:LARA
Middle Name:S
Last Name:CRAIG
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:LARA
Other - Middle Name:A
Other - Last Name:SENKBEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8413
Mailing Address - Country:US
Mailing Address - Phone:615-343-6336
Mailing Address - Fax:615-343-1966
Practice Address - Street 1:1215 21ST AVE S
Practice Address - Street 2:3108 MCE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8413
Practice Address - Country:US
Practice Address - Phone:615-343-6336
Practice Address - Fax:615-343-1966
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16333367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered