Individual
JOSEPH LOUIS LORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
319 HOLMES BLVD NW, FT WALTON BCH, FL 32548-4101
(850) 283-7323
Mailing address
319 HOLMES BLVD NW, FT WALTON BCH, FL 32548-4101
(850) 283-7323
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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