Individual
LORRAINE LUCE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 CRANES ROOST BLVD STE 1220, ALTAMONTE SPRINGS, FL 32701-3480
(407) 774-3325
Mailing address
1631 ASTER DR, WINTER PARK, FL 32792-6201
(407) 547-6529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9436849
FL
Other
Enumeration date
11/14/2019
Last updated
02/23/2024
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