Individual
LORI DZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5448 AVENIDA DEL MARE, SARASOTA, FL 34242-1913
(315) 396-8312
Mailing address
5448 AVENIDA DEL MARE, SARASOTA, FL 34242-1913
(315) 396-8312
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
A479962-1
NY
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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