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Individual

LORENE DAVIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
8700 STONY POINT PKWY STE 100, RICHMOND, VA 23235-1968
(804) 775-4500
(804) 545-0758
Mailing address
5855 BREMO RD, SUITE 100 NORTH, RICHMOND, VA 23226-1926
(804) 288-6258
(804) 282-9921

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001082689
VA
367500000X
Certified Registered Nurse Anesthetist
0024082689
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9554611
VA
Enumeration date
10/06/2005
Last updated
11/06/2023
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