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Individual

LOIS STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1100 SOUTHFIELD DR, STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5570
(317) 837-5580

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
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