Individual
DR. LORI DIANNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
730 EMERSON DR. NW, PALM BAY, FL 32907
(321) 984-7878
(321) 953-0279
Mailing address
3212 BELLWIND CIR, ROCKLEDGE, FL 32955-5157
(321) 984-7878
(321) 953-0279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10353
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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