Individual
MS. LORAINE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNA
Contact information
Practice address
341 JAMES CIR, LAKE ALFRED, FL 33850-2753
(863) 449-0929
Mailing address
341 JAMES CIR, LAKE ALFRED, FL 33850-2753
(863) 449-0929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44682
FL
376K00000X
Nurse's Aide
52945
FL
Other
Enumeration date
11/13/2006
Last updated
04/10/2023
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