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Individual

MICHELE R LORRAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
302 DARE RD, YORKTOWN, VA 23692-2716
(757) 898-0300
Mailing address
302 DARE RD, YORKTOWN, VA 23692-2716

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
035628
NY
235Z00000X
Speech-Language Pathologist
Primary
2202011971
VA
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/22/2024
Last updated
04/27/2026
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