MEDICARE: LORELAI SNOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1306794235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORELAI SNOW

Provider Business Mailing Address
First Line	:	9555 REDLAND RD
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32583-9422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8754 ORTEGA PARK DR
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-4139
Country	:	US
Telephone Number	:	850-348-1899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ LORELAI SNOW ” Practice Location

Language	Start Address	Practice Location

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