Individual
LORA GAIL CALONJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
750 N ALVERNON WAY, TUCSON, AZ 85711-1804
(520) 874-3500
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-3500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN115136
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090878
—
AZ
01
—
430065873
RR MEDICARE
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/07/2006
Last updated
10/23/2014
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