Lynnon L Connerly (NPI# 1003885294, PAC ID# 8921024977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1003885294 |
| PAC ID by PECOS | 8921024977 |
| Professional Enrollment ID | I20090909000729 |
| Full Name | Lynnon L Connerly |
| Organization Legal Name | WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP |
| Address |
2600 Greenwood Rd Shreveport LA 71103-3908 |
| Phone Number | 3182124000 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1759358674 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 3182124000 | WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP |
| 5420 Kell Blvd, Wichita Falls, TX 76310-1610 | 9406925888 | YOUNGS PROFESSIONAL SERVICES LLC |
| Organization Legal Name | WILLIS KNIGHTON MEDICAL CENTER INC CRNA GROUP |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candace Funderburk | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Billy Miller | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Kurvis A Davis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Maurice A Hawley Jr. | Anesthesiology | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Stephen E Dailey | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Rhonda Connor | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Monica Collinsworth | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Regina Kittler | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Lesa R Tilley | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Lynnell M Daniel | Anesthesiology | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Street Address |
2600 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip | 71103-3908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candace Funderburk | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Billy Miller | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Kurvis A Davis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Matthew Porter | Emergency Medicine | Cross Lake Emergency Group, LLC | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Maurice A Hawley Jr. | Anesthesiology | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Stephen E Dailey | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Rhonda Connor | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Monica Collinsworth | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Regina Kittler | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Jose Alba | Diagnostic Radiology | Red River Consultants Inc | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sophia Tayebeh Shokouh-amiri | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tiffany George | Nurse Practitioner | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tymwa Dixon | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| James P Swearingen Jr. | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Stephen W Lewis | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Margaret A Wheat- Sipes | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Janusz Luka | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| David D Bryan | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Wyche Coleman Iii | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Christopher L Shelby | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Find all physicians in zip 71103 | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SHREVEPORT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Lynnon L Connerly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.