Lorette Osun, CRNA
Nurse Anesthetist, Certified Registered in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164028171
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1164028171
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lorette Osun
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2020
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2023040165 | MO | Yes |
| 163W00000X | Registered Nurse | 2020011083 | MO |
Practice location
615 S New Ballas Rd Dept OfSaint Louis, MO 63141-8221
Phone 636-386-9224 · Fax 636-386-7679
Mailing address
339 Consort DrBallwin, MO 63011-4439
Phone 636-386-9224 · Fax 636-386-7679
Other practice locations
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Saint Louis, MO 63104-1016
Phone 314-257-8000
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