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Individual

LORI A RIZOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1200 J D ANDERSON DR, MONONGALIA GENRAL HOSPITAL, MORGANTOWN, WV 26505
(304) 285-1245
(304) 285-2131
Mailing address
PO BOX 711841, COLUMBUS, OH 43271-0001
(304) 346-9400
(304) 720-8461

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
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