Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lance Lagerstrom, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1184616625

Lance Lagerstrom, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Odessa, Texas. Qualified in 2001, 25 years ago. Practices with Rector and Visitors of the University of Virginia, a 95-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
25
Licensed in
TX
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

520 E 6th St
Odessa, TX 79761-4527
Phone: (432) 334-8088
Fax: (432) 580-7202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 052743 (TX)

Record details

NPI number1184616625
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESNovember 17, 2022
Mailing addressPo Box 1226, Odessa, TX 79760-1226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Rector And Visitors Of The University Of Virginia — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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