Individual
MRS. LORI MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
11107 BUD RHODEN RD, PALMETTO, FL 34221-8630
(941) 531-7313
Mailing address
11107 BUD RHODEN RD, PALMETTO, FL 34221-8630
(941) 531-7313
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
111667
FL
Other
Enumeration date
03/30/2010
Last updated
04/14/2010
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