Individual
LORI ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
340 MAGNOLIA CIR, TYNDALL AFB, FL 32403-5604
(850) 283-7574
Mailing address
340 MAGNOLIA CIR BLDG 1465, PANAMA CITY, FL 32403-5604
(850) 283-7554
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH19316
FL
Other
Enumeration date
01/05/2007
Last updated
09/18/2025
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