Lori Dawn Wade CRNA

NPI 1164676854 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1164676854
Gender Female
Enumeration Date 11/09/2008
Last Updated 07/17/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
20 MEDICAL VILLAGE DR STE 258
EDGEWOOD KY, 41017-5411, US
Phone (859) 341-7246
Fax (859) 341-7867
Business Location
PO BOX 12749
COVINGTON KY, 41012-0749, US
Phone (859) 341-7246
Fax (859) 341-7867
Toxanomy
Taxonomy Code 367500000X
License State Kentucky
License Number 1090581
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According to our database, Mrs. Lori Dawn Wade CRNA NPI is 1164676854, taxonomy code is 367500000X and license number is 1090581, license state is located at Kentucky. Lori Dawn Wade CRNA physically located at 20 Medical Village Dr Ste 258, Edgewood KY, 41017-5411. NPI Number Lori Dawn Wade CRNA has the Individual type.

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1164676854 NPI number is provided on an as is basis without warranty of any kind. 1164676854 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Dawn Wade CRNA are for informational purposes only.