Individual
LORI NICHOLE CHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 BURNSED PL, SUITE 1020, OVIEDO, FL 32765-6695
(407) 971-3898
(407) 971-3840
Mailing address
100 BURNSED PL, SUITE 1020, OVIEDO, FL 32765-6695
(407) 971-3898
(407) 971-3840
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA62754
FL
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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