Individual
WADE LOOKENOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1969 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5536
(772) 335-8700
Mailing address
1969 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5536
(772) 335-8700
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2816
FL
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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