Individual
LORRAINE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7322
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LN, MAITLAND, FL 32751-7274
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME94140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12648
BCBS
FL
Enumeration date
07/27/2006
Last updated
07/08/2007
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