LORIELLE MANNING LANG

LAKE CITY, FL
NPI1275114001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL  APRN11012655)
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
LORIELLE MANNING LANG APRN
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number: 386-719-6500
Mailing Address
LORIELLE MANNING LANG APRN
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number: