Individual
LORA LEIGH MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7040
(207) 283-7850
Mailing address
1009 MORGAN ST, FORT COLLINS, CO 80524-3856
(207) 329-2114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11000357
FL
367500000X
Certified Registered Nurse Anesthetist
R035859
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430075429
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
03/24/2019
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