Individual
LORAH HEALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S HABANA AVE # 210-A, TAMPA, FL 33609-3254
(918) 640-7414
Mailing address
210 S HABANA AVE # 210-A, TAMPA, FL 33609-3254
(918) 640-7414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6663
FL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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