Dr LANCE R FREDRICKSON is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2008.
YOUNGS PROFESSIONAL SERVICES LLC
2026 S JACKSON ST
YPS ANESTHESIA SERVICES
JACKSONVILLE
TX
757665822
Tel: 8553007525
| Npi | 1659522308 |
| Pac Id | 9739241233 |
| Professional Enrollment Id | I20150505000711 |
| Last Name | FREDRICKSON |
| First Name | LANCE |
| Middle Name | R |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Group Practice Pac Id | 2163524992 |
| Number Of Group Practice Members | 214 |
| Line 1 Street Address | 2026 S JACKSON ST |
| Line 2 Street Address | YPS ANESTHESIA SERVICES |
| Marker Of Address Line 2 Suppression | |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 757665822 |
| Phone Number | 8553007525 |
| Hospital Affiliation Ccn 1 | 450747 |
| Hospital Affiliation Lbn 1 | PALESTINE REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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