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Individual

LORI B COLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11011 SHERIDAN ST, SUITE 311, COOPER CITY, FL 33026-1532
(954) 435-7400
(954) 433-5402
Mailing address
5310 NW 33RD AVE, SUITE 216, FORT LAUDERDALE, FL 33309-6307
(954) 731-9676
(954) 731-9747

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80558
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260333100
FL
Enumeration date
10/21/2005
Last updated
11/22/2011
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