Carrie Schneider

 Lakeside Health 
 patient: 
 Carrie Schneider 
 MRN: 
 06750137 
Admission Date: 13/03/2021
 FIN: 
 26382086986
 Disch: 12/04/2021
 DOB/Age/Sex: 05/12/1984
 62 years 
 Female 
 Admitting: 
 Dr Chad Cruz.MD 
 Location: 
 E4M4 E440-E447; E442; 1 
 Attending: Dr Chad Cruz.MD 
 Copy to: Li,Ed 
 Discharge Documentation 
 Document Type: 
 ED Clinical Summary 
 Date of Service/Time: 
 05/03/2020 01:35 PDT 
 Result Status: 
 Auth (Verified) 
 Perform Information: 
 Inez,Darlene M RN (21/06/2021 01:35 PDT) 
 Sign Information: 
 Inez,Darlene M RN (21/06/2021 01:35 PDT) 
 ED Clinical Summary 
 Lakeside Health 
 674 Lopez Union Suite 899
Ochoachester, DE 50687
 Visit Information 
 patient: Carrie Schneider 
 FIN: 
 DOB: 05/12/1984 12:00 AM 
 Arrival Date/Time: 8/27/2019 6:31 PM 
 Current Date/Time: 08/28/19 01:35:40 
 Primary Care Provider: UNK, Provider 
