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Individual

LORNE KEVIN HOWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6410 PGA DRIVE, NORTH FORT MYERS, FL 33917
(239) 731-9007
Mailing address
6410 PGA DRIVE, NORTH FORT MYERS, FL 33917
(239) 731-9007

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905152
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141398800
FL
Enumeration date
12/05/2011
Last updated
12/05/2011
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