Individual
LORRAINE ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
Mailing address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
41526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050016
—
NC
Enumeration date
07/25/2006
Last updated
07/08/2007
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