Individual
LILA STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
60 W GORE ST FL 2, ORLANDO, FL 32806-1141
(321) 842-9079
Mailing address
60 W GORE ST FL 2, ORLANDO, FL 32806-1141
(321) 842-9079
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC614
FL
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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