Individual
LAVON DORMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3491 GANDY BLVD N, PINELLAS PARK, FL 33781-2658
(727) 547-0607
Mailing address
3491 GANDY BLVD N, PINELLAS PARK, FL 33781-2658
(727) 547-0607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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