Individual
DR. LORI BETH WAXENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100165, GAINESVILLE, FL 32610-0165
(352) 273-5273
Mailing address
1600 SW ARCHER RD, BOX 100165, GAINESVILLE, FL 32610-0165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6259
FL
Other
Enumeration date
07/30/2006
Last updated
11/10/2015
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