Individual
LORI STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1640 AIRPORT RD NW, STE 110, KENNESAW, GA 30144-7038
(678) 202-2074
(770) 590-1442
Mailing address
1984 PEACHTREE RD NW, STE 515, ATLANTA, GA 30309-5219
(404) 351-1754
(404) 351-7121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2016015968
MO
367500000X
Certified Registered Nurse Anesthetist
2021018041
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
RN131489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
906922040
—
GA
Enumeration date
07/15/2006
Last updated
06/14/2021
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