Anderson, Lorene R

Anderson, Lorene R is an individual health care provider with primary practice located at 3000 Saint Matthews Rd , Orangeburg SC 29118-1442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Lorene R can be contacted via phone (803) 395-2200.

Contact Information

Primary practice address
3000 Saint Matthews Rd Orangeburg SC 29118-1442
Phone: (803) 395-2200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R173096 Maryland

Profile Details

NPI number 1225133648
LBN Legal business name Anderson, Lorene R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Dec 3rd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225133648 NPPES
South Carolina MEDICAID AN1607
South Carolina Other 576008010015
South Carolina Other 20065624
South Carolina Other 000000225398

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