Individual
LAURA SORENSON STERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/CRNA
Contact information
Practice address
2435 NW KLINE ST, ROSEBURG, OR 97470-1690
(541) 672-2020
Mailing address
850 TRANQUIL LN, ROSEBURG, OR 97470-9017
(541) 677-9473
(541) 677-9740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083043019
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046628
AANA
OR
01
—
083043019
RN/CRNA LICENSE #
OR
05
—
210268
—
OR
01
—
430061714
RAILROAD MEDICARE
OR
Enumeration date
07/10/2006
Last updated
06/30/2008
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