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Individual

MRS. LISA LORENZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC, NICU MT

Contact information

Practice address
322 BEARD ST, TALLAHASSEE, FL 32303-6228
(850) 778-2132
Mailing address
PO BOX 11253, TALLAHASSEE, FL 32302-3253
(352) 361-7771

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
10178
FL

Other

Enumeration date
09/19/2014
Last updated
11/03/2014
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