Individual
MR. LORREN D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(707) 423-3339
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 684-5962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
62836
NE
163W00000X
Registered Nurse
770479
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
101595
NE
367500000X
Certified Registered Nurse Anesthetist
95001376
CA
Other
Enumeration date
06/26/2019
Last updated
05/09/2024
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