Individual
LORRAINE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7529 COCO PLUM, PUNTA GORDA, FL 33955-1051
(304) 281-1881
Mailing address
7529 COCO PLUM, PUNTA GORDA, FL 33955-1051
(304) 281-1881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA67419
FL
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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