Individual
LORIELLE MANNING LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1140 SW BASCOM NORRIS DR STE 104, LAKE CITY, FL 32025-1329
(386) 719-6500
Mailing address
1140 SW BASCOM NORRIS DR STE 104, LAKE CITY, FL 32025-1329
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11012655
FL
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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