Most Relevant Information
Provider Data
| NPI Number: | 1003656125 |
| Provider Name: | ELAINE LACANILAO CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 101436 |
Most Important Dates
| Enumeration Date: | 05/28/2024 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
80 SEYMOUR ST
HARTFORD
CT
061063300
Practice Location Phone/Fax
| Phone: | 8605455000 |
| Fax: |
Provider Mailing Location
99 E RIVER DRIVE
EAST HARTFORD
CT
06108
Provider Mailing Phone/Fax
| Phone: | 8602820833 |
| Fax: |