Individual
LAURA LYNN SHORTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
333 1ST ST N, JACKSONVILLE BEACH, FL 32250-6945
(844) 363-5038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
746455
TX
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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