Individual
LORI ELIZABETH BURCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4050 TAMPA RD, OLDSMAR, FL 34677-3205
(813) 855-4269
(813) 855-4277
Mailing address
4050 TAMPA RD, OLDSMAR, FL 34677-3205
(813) 855-4269
(813) 855-4277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 18371
FL
Other
Enumeration date
07/06/2008
Last updated
11/08/2017
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