Davidson, Lorene

Davidson, Lorene is an individual health care provider with primary practice located at 8700 Stony Point Pkwy Ste 100 , Richmond VA 23235-1968. He 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. Nursing Service Providers / Registered Nurse is his primary health care specialty. Davidson, Lorene can be contacted via phone (804) 775-4500.

Contact Information

Primary practice address
8700 Stony Point Pkwy Ste 100 Richmond VA 23235-1968
Phone: (804) 775-4500
Fax: (804) 545-0758
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001082689 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024082689 Virginia

Profile Details

NPI number 1194713974
LBN Legal business name Davidson, Lorene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Nov 6th, 2023 - about last year

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 1194713974 NPPES
Virginia MEDICAID 9554611

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