MEDICARE: MS. LORRAINE KERWIN CRNA

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	0024090887	VA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1023001930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORRAINE KERWIN CRNA

Provider Business Mailing Address
First Line	:	3100 SPRING FOREST RD STE 130
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-2880
Country	:	US
Telephone Number	:	919-882-0705
Fax Number	:	919-873-9821

Provider Business Practice Location Address
First Line	:	3300 GALLOWS RD
Second Line	:	FAIRFAX INOVA HOSPITAL
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3307
Country	:	US
Telephone Number	:	703-776-3138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	03/30/2016

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

3300 GALLOWS RD , PHYSICIAN SERVICES
FALLS CHURCH, VA
22042-3307

Practice Phone: 703-321-2627
Practice Fax: 703-321-2919