Individual
LORI A RIZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
52027
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS GROUP
WV
01
—
001788764
BCBS
WV
05
—
0069146000
—
WV
05
—
0207026000
—
WV
01
—
27005299700
WORKERS COMP
WV
01
—
270052997003
TRICARE
WV
01
—
270052997004
TRI CARE
WV
01
—
277747205
TRICARE
WV
05
—
3810004810
—
WV
01
—
DA0096
RR MEDICARE
WV
01
—
P00282628
RR MEDICARE
WV
Enumeration date
06/09/2006
Last updated
05/13/2008
Update your record
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