Anderson, Lori R.

Anderson, Lori R. is an individual health care provider with primary practice located at 2202 Harlem Rd , Loves Park IL 61111-2754. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Anderson, Lori R. can be contacted via phone (815) 877-4848.

Contact Information

Primary practice address
2202 Harlem Rd Loves Park IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 654-5342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041191136 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 100815-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-000340 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209000340 Illinois

Profile Details

NPI number 1376656744
LBN Legal business name Anderson, Lori R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated May 16th, 2017 - about 7 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 1376656744 NPPES
Other 430075651 RAILROAD MEDICARE

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