Provider Demographics
NPI:1790194306
Name:LORVEN ANESTHESIA,LLC
Entity Type:Organization
Organization Name:LORVEN ANESTHESIA,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VISHNU
Authorized Official - Middle Name:PATLOLA
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-401-1919
Mailing Address - Street 1:3256 S PINE AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6618
Mailing Address - Country:US
Mailing Address - Phone:352-401-1919
Mailing Address - Fax:352-401-1870
Practice Address - Street 1:3256 S PINE AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6618
Practice Address - Country:US
Practice Address - Phone:352-401-1919
Practice Address - Fax:352-401-1870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty