Mariposa Anesthesia Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MARIPOSA ANESTHESIA SERVICES LLC

Practice address

11850 Thomas Mill Dr
Glen Allen, VA 23059-4726

Phone

(800) 444-6110

NPI assigned

Mar 6, 2024

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarah F Lazcano

Title

Crna

Phone

(804) 677-5659

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1134987019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SHERWOOD DR",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442203",
            "telephone_number": "800-444-6110",
            "fax_number": "224-255-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 THOMAS MILL DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594726",
            "telephone_number": "800-444-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "LAZCANO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "804-677-5659"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.