Individual
LOIS STEWART
Active
Individual
LOIS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001-107441
VA
163W00000X
Registered Nurse
28226418A
IN
367500000X
Certified Registered Nurse Anesthetist
0024-166441
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA CERT 72222
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001074719
ANTHEM PROVIDER NUMBER
IN
05
—
010139902
—
VA
05
—
010139937
—
VA
05
—
010139961
—
VA
05
—
010140005
—
VA
05
—
010140102
—
VA
Enumeration date
08/02/2006
Last updated
11/27/2023
Update your record
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