Provider Demographics
NPI:1447212519
Name:OLANDER, LORI RENEE (CRNA)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:RENEE
Last Name:OLANDER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:RENEE
Other - Last Name:CAHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:C R N A
Mailing Address - Street 1:427 S BERNARD ST # 200
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2509
Mailing Address - Country:US
Mailing Address - Phone:509-456-8150
Mailing Address - Fax:509-455-9887
Practice Address - Street 1:427 S BERNARD ST # 200
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2509
Practice Address - Country:US
Practice Address - Phone:509-456-8150
Practice Address - Fax:509-455-9887
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00148861163W00000X
WAAP30006487367500000X
IDRNA-550367500000X
IDN-32008163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1447212519Medicaid
ID1447212519Medicaid
910852217OtherPREMERA BLUE CROSS
WA1447212519Medicaid