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1275114001
LORIELLE MANNING LANG
LAKE CITY, FL
NPI
1275114001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL APRN11012655)
Enumeration Date
2021-04-14
Last Update Date
2021-04-14
Business Address
LORIELLE MANNING LANG APRN
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number: 386-719-6500
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Mailing Address
LORIELLE MANNING LANG APRN
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number:
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