Individual
CORY LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
130 PABLO ST, LAKELAND, FL 33803-3818
(863) 284-5941
(863) 284-5199
Mailing address
1225 HAVENDALE BLVD NW, APT 338, WINTER HAVEN, FL 33881-1393
(863) 268-2921
(863) 268-2923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP2962462
FL
363L00000X
Nurse Practitioner
Primary
ARNP2962462
FL
Other
Enumeration date
03/06/2007
Last updated
10/12/2016
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