Individual
MRS. LORI JEAN FACKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4413 NW BLITCHTON RD, OCALA, FL 34482-4056
(352) 629-8088
(352) 629-1962
Mailing address
4413 NW BLITCHTON RD, OCALA, FL 34482-4056
(352) 629-8088
(352) 629-1962
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2859962
FL
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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