Provider Demographics
NPI:1063501419
Name:HOLT, LUREE S (CRNA)
Entity Type:Individual
Prefix:MS
First Name:LUREE
Middle Name:S
Last Name:HOLT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:LUREE
Other - Middle Name:A
Other - Last Name:SALISBURY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:111 W TAZEWELL ST APT 305
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1815
Mailing Address - Country:US
Mailing Address - Phone:757-625-6873
Mailing Address - Fax:
Practice Address - Street 1:465 N GREAT NECK RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4064
Practice Address - Country:US
Practice Address - Phone:757-625-6873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024137473367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered