Individual
LORI RAKITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
10475 CENTURION PKWY N, JACKSONVILLE, FL 32256-5003
(920) 574-0140
Mailing address
8450 GATE PKWY W, APT. 1222, JACKSONVILLE, FL 32216-1049
(920) 574-0140
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1809
FL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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