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General NPI Number Information
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NPI Number | 1437044518
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Entity Type | Individual
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Provider Name | LORI FRANCES LYNN CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 4500 MEMORIAL DR
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City | BELLEVILLE
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State | IL
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Zip | 62226-5399
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Country | US
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Telephone | 618-233-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 3236 JOEL DR
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City | SWANSEA
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State | IL
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Zip | 62226-2432
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Country | US
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Telephone | 618-973-9365
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 155217
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209032713
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License Number State | IL
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