Individual
LORRAINE A FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4444 CORONA DR STE 232, CORPUS CHRISTI, TX 78411-4323
(512) 963-0731
Mailing address
PO BOX 2859, ROCKPORT, TX 78381-2859
(512) 963-0731
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
50785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152967901
—
TX
01
—
82257U
BC/BS
TX
Enumeration date
11/18/2005
Last updated
10/21/2014
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