Anderson, Lori T

Anderson, Lori T is an individual health care provider with primary practice located at 744 S Webster Ave Bellin Memorial Hospital Inc, Green Bay WI 54301-3505. 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, Lori T can be contacted via phone (920) 431-5582.

Contact Information

Primary practice address
744 S Webster Ave Bellin Memorial Hospital Inc Green Bay WI 54301-3505
Phone: (920) 431-5582
Fax: (920) 433-7450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 5142-33 Wisconsin

Profile Details

NPI number 1508953274
LBN Legal business name Anderson, Lori T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 14th, 2015 - about 10 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 1508953274 NPPES
Kentucky MEDICAID 74004359

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