Individual
MS. LAURIE MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4282 HERSCHEL ST, JACKSONVILLE, FL 32210-2247
(904) 384-3453
(904) 384-3453
Mailing address
2605 INDEPENDENCE DR, JACKSONVILLE BEACH, FL 32250-2519
(904) 241-5229
(904) 384-3453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA-20053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16559
MM LICENSE NUMBER
FL
01
—
20053
MA LICENSE NUMBER
FL
Enumeration date
11/10/2006
Last updated
07/08/2007
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