Individual
LORRAINE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201
(718) 250-8848
(718) 250-8850
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
434687
NY
Other
Enumeration date
06/30/2006
Last updated
04/14/2015
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