Individual
LAURYN ELAINE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SAND LAKE RD STE 128, ORLANDO, FL 32809-7747
(407) 214-5539
Mailing address
4315 RED KNIGHT WAY, ORLANDO, FL 32817-8320
(321) 698-2722
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT25440857
FL
Other
Enumeration date
06/03/2025
Last updated
06/12/2025
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