Individual
MRS. LORI HACKETT ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1870 INDEPENDENCE SQ STE D, ATLANTA, GA 30338-5155
(770) 396-6190
Mailing address
PO BOX 3686, SUWANEE, GA 30024-0994
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
RN140976 CRNA
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN140976
GA
Other
Enumeration date
08/20/2007
Last updated
04/09/2020
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