LORRAINE PORTELANCE

TAMPA, FL
NPI1508173725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: FL  ME113812)
Enumeration Date2010-09-09
Last Update Date2025-04-10
Business Address
LORRAINE PORTELANCE MD
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-7365
Mailing Address
LORRAINE PORTELANCE MD
PO BOX 198441
ATLANTA, GA 30384-8441
Phone number: 813-745-7365
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