Individual
MS. LORELLE J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11479 CORTEZ BLVD, BROOKSVILLE, FL 34613-7367
(352) 597-3511
(352) 597-3466
Mailing address
11479 CORTEZ BLVD, BROOKSVILLE, FL 34613-7367
(352) 597-3511
(352) 597-3466
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN2727382
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP2727382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
06/15/2006
Last updated
08/18/2022
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