Individual
MRS. LORI SAXON BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6122
(864) 560-6276
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
(864) 560-4023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
APN 614
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
050245
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0845
—
SC
Enumeration date
04/08/2006
Last updated
02/09/2012
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