Robertson, Lanorvell

Robertson, Lanorvell is an individual health care provider with primary practice located at 1110 Professional Ct , Hagerstown MD 21740-5826. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Robertson, Lanorvell can be contacted via phone (240) 420-5559.

Contact Information

Primary practice address
1110 Professional Ct Hagerstown MD 21740-5826
Phone: (240) 420-5559
Fax: (240) 420-3786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R036279 Maryland

Profile Details

NPI number 1396730917
LBN Legal business name Robertson, Lanorvell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 7th, 2010 - about 16 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 1396730917 NPPES
Maryland Other KCB1CH CAREFIRST BCBS
Maryland Other P00745079 CAREFIRST BCBS
Maryland Other P00811167 CAREFIRST BCBS
Maryland Other S417-0037 CAREFIRST BCBS

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