Individual
MRS. LORI M OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7807 BAYMEADOWS RD E., SUITE 207, JACKSONVILLE, FL 32256
(904) 446-9991
(904) 446-9992
Mailing address
7807 BAYMEADOWS RD E., SUITE 207, JACKSONVILLE, FL 32256
(904) 446-9991
(904) 446-9992
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9162300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306934600
—
FL
Enumeration date
05/17/2006
Last updated
03/11/2019
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