Individual
LORENE R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R173096
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225398
UNISON
SC
01
—
20065624
FIRST CHOICE
SC
01
—
576008010015
TRICARE
SC
05
—
AN1607
—
SC
Enumeration date
09/13/2006
Last updated
12/03/2009
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