Individual
LORI THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRI, ESMHL
Contact information
Practice address
3804 PIONEER TRL, NEW SMYRNA BEACH, FL 32168-8784
(386) 262-8538
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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