Organization
SHORELINE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUREE S HOLT CRNA (PRESIDENT OWNER)
(757) 625-6873
Entity
Organization
Contact information
Practice address
111 W TAZEWELL ST, #305, NORFOLK, VA 23510-1815
(757) 625-6873
(757) 625-6873
Mailing address
111 W TAZEWELL ST, #305, NORFOLK, VA 23510-1815
(757) 625-6873
(757) 625-6873
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001137473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063501419
IND NPI NUMBER
VA
Enumeration date
04/11/2007
Last updated
08/22/2020
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