Individual
LORI R. ANDERSON
Active
Individual
LORI R. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041191136
IL
163W00000X
Registered Nurse
100815-030
WI
367500000X
Certified Registered Nurse Anesthetist
209-000340
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209000340
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430075651
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
05/16/2017
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