Individual
MS. LORI A PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-4837
Mailing address
301C US ROUTE ONE, MAINE MEDICAL PARTNERS, SCARBOROUGH, ME 04074
(207) 396-8600
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
19248
OH
367500000X
Certified Registered Nurse Anesthetist
50684
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA143018
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS GROUP
WV
01
—
001720720
MSBCBS
WV
05
—
0069300000
—
WV
05
—
0207026000
—
WV
05
—
1770512618
—
ME
05
—
2058204
—
OH
05
—
2460484
—
OH
05
—
2460484
—
WV
01
—
27005299700
BRICKSTREET
WV
01
—
270052997003
TRICARE
WV
01
—
DA0096
RR MEDICARE
WV
01
—
P00273112
RR MEDICARE
WV
01
—
P00794072
RAILROAD MEDICARE
OH
Enumeration date
07/02/2006
Last updated
11/27/2023
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