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Cory Lord, ARNP

Nurse Practitioner in Lakeland, FL. Individual provider (NPI-1).

NPI number1619007002
StatusActive
Last updated in NPPESOct 12, 2016

Details

NPI
1619007002
Entity type
Individual (NPI-1)
Name
Cory Lord
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 6, 2007
Last updated
Oct 12, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerARNP2962462FLYes
163W00000X Registered NurseARNP2962462FL

Practice location

130 Pablo St
Lakeland, FL 33803-3818

Phone 863-284-5941 · Fax 863-284-5199

Mailing address

1225 Havendale Blvd Nw
Apt 338
Winter Haven, FL 33881-1393

Phone 863-268-2921 · Fax 863-268-2923

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