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Organization
NORTH FLORIDA/SOUTH GEORGIA VETERAN'S HEALTH ADMINISTRATION
Active
Organization
NORTH FLORIDA/SOUTH GEORGIA VETERAN'S HEALTH ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANN CORNETT LPN (LICENSED PRACTICAL NURSE)
(386) 755-3016
Entity
Organization
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3106
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
PN 5161386
FL
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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