Healthcare Provider Details

I. General information

NPI: 1790194306
Provider Name (Legal Business Name): LORVEN ANESTHESIA,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 08/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3256 S PINE AVE
OCALA FL
34471-6618
US

IV. Provider business mailing address

3256 S PINE AVE
OCALA FL
34471-6618
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-1919
  • Fax: 352-401-1870
Mailing address:
  • Phone: 352-401-1919
  • Fax: 352-401-1870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: VISHNU PATLOLA REDDY
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 352-401-1919