Individual
LORENA STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 W MAIN ST, WAUCHULA, FL 33873-2819
(941) 779-6168
Mailing address
1142 OLD FORT GREEN RD, WAUCHULA, FL 33873-7710
(727) 687-7932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA103857
FL
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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