Individual
LORI LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
511 N FERNCREEK AVE, ORLANDO, FL 32803-5437
(407) 579-7311
Mailing address
511 N FERNCREEK AVE, ORLANDO, FL 32803-5437
(407) 579-7311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA53734
FL
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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