Individual
DONALD R LOURCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-0095
(850) 785-0842
Mailing address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-0095
(850) 785-0842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2496
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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