| Lori Stanton, CRNA | |
|
1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 | |
| (678) 202-2074 | |
| (770) 590-1442 |
| Full Name | Lori Stanton |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1640 Airport Rd Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629094248 | NPI | - | NPPES |
| 906922040 | Medicaid | GA |
| Entity Name | Lower Umpqua Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003874819 PECOS PAC ID: 6800703562 Enrollment ID: O20040212000228 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Stanton, CRNA 1984 Peachtree Rd Nw, Ste 515, Atlanta, GA 30309-5219 Ph: (404) 351-1754 | Lori Stanton, CRNA 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144-7038 Ph: (678) 202-2074 |
Laura Uphouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 | |
Daisy Tambe Jean-pierre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 | |
Katelyn E Longacre, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 Fax: 770-693-0810 | |
Jenny R Deforeest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 678-290-0479 | |
Lauren Turley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5003 Barnwood Ter Nw, Kennesaw, GA 30152 Phone: 404-542-0285 | |
Paul Christopher Dozier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 | |
Sarah Jordan Kabase, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 |