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Organization
LORI BURACK, LCSW, PA
Active
Organization
LORI BURACK, LCSW, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI BURACK LCSW (CLINICAL SOCIAL WORKER)
(561) 478-5160
Entity
Organization
Contact information
Practice address
5700 LAKE WORTH RD, SUITE 205, LAKE WORTH, FL 33463-3213
(561) 478-5160
(561) 642-9623
Mailing address
5700 LAKE WORTH RD, SUITE 205, LAKE WORTH, FL 33463-3213
(561) 478-5160
(561) 642-9623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891880480
INDIVIDUAL NPI
FL
Enumeration date
04/01/2016
Last updated
04/01/2016
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