Haban, Lorraine Marie

Haban, Lorraine Marie is an sole proprietor health care provider with primary practice located at 801 S Adams St , Petersburg VA 23803-5133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Haban, Lorraine Marie can be contacted via phone (804) 862-5000.

Contact Information

Primary practice address
801 S Adams St Petersburg VA 23803-5133
Phone: (804) 862-5000
Fax: (804) 862-5948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 939613 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024165854 Virginia

Profile Details

NPI number 1477514040
LBN Legal business name Haban, Lorraine Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Oct 4th, 2018 - about 8 years ago

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 1477514040 NPPES
Virginia MEDICAID 010192391

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