Individual
MS. JUDY A LOHRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-7049
(314) 344-7073
Mailing address
12303 DEPAUL DRIVE, BRIDGETON, MO 63044
(314) 344-7049
(314) 344-7073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN104734
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
104734
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912787017
—
MO
Enumeration date
10/28/2005
Last updated
06/18/2010
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