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Individual

DR. LORI MARIE DEGAETANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
LECOM, 4800 LAKEWOOD RANCH BLVD., BREDENTON, FL 34211
(727) 249-5309
(727) 398-6838
Mailing address
17615 ESPRIT DR, SUITE 301, TAMPA, FL 33647
(727) 249-5309
(727) 398-6838

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0011054
FL

Other

Enumeration date
02/21/2008
Last updated
01/06/2026
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