Most Relevant Information
Provider Data
| NPI Number: | 1003408287 |
| Provider Name: | TONY TRE LYBARGER CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | APRN.CRNA.0020297 |
Most Important Dates
| Enumeration Date: | 02/09/2021 |
| Last Updated: | 05/26/2021 |
Provider Practice Location
111 S GRANT AVE FL 3
COLUMBUS
OH
432154701
Practice Location Phone/Fax
| Phone: | 6145669871 |
| Fax: |
Provider Mailing Location
PO BOX 7527
DUBLIN
OH
430170727
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |