Individual
MRS. KATHLEEN MARIE DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7010 FOX CHASE DR, LAKELAND, FL 33810-2601
(863) 858-8785
Mailing address
7010 FOX CHASE DR, LAKELAND, FL 33810-2601
(863) 858-8785
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN997211
FL
Other
Enumeration date
01/05/2013
Last updated
01/05/2013
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