Individual
LORRAINE MARIE HABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 S ADAMS ST, PETERSBURG, VA 23803-5133
(804) 862-5000
(804) 862-5948
Mailing address
3510 N LOOP 1604 E, SAN ANTONIO, TX 78247-2303
(210) 375-7790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024165854
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
939613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010192391
—
VA
Enumeration date
03/31/2006
Last updated
10/04/2018
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