Doctor Name: | LORI A DARRAH |
NPI Number: | 1699922914 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | ARNP 9342279 |
Business Practice Address: | 704 W. Martin Luther King Jr. Blvd. Seffner, FL - 33584 |
Business Phone Number: | 8136814431 |
Business Fax Number: | 8136546930 |
Mailing Address: | 4327 Swift Cir, VALRICO |
State: | FL |
Postal Code: | 335967280 |
Phone Number: | 8136845341 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP 9342279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |