Individual
LORI HIMSCHOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6200 BRENTWOOD CT, CRESTWOOD, KY 40014-6789
(662) 538-4636
Mailing address
6200 BRENTWOOD CT, CRESTWOOD, KY 40014-6789
(662) 538-4636
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1180544
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3015572
KY
Other
Enumeration date
06/05/2013
Last updated
01/25/2025
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