Individual
LORI VANDERHOOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPO, LPO
Contact information
Practice address
2939 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4411
(850) 248-0016
(850) 248-0017
Mailing address
1400 BLACK DIAMOND DR APT 1406, PANAMA CITY BEACH, FL 32407-0270
(936) 777-2111
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
POR330
FL
224P00000X
Prosthetist
Primary
POR330
FL
Other
Enumeration date
11/26/2014
Last updated
11/29/2017
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