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NPI Code Detail

MEDICARE: LORI ELIZABETH BURCHELL D.M.D

MEDICARE:   LORI ELIZABETH BURCHELL  D.M.D
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
1122300000XDentistDN 18371FL

General Provider Information

NPI Number : 1467615948
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI ELIZABETH BURCHELL D.M.D
Provider Business Mailing Address
First Line : 4050 TAMPA RD
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-3205
Country : US
Telephone Number : 813-855-4269
Fax Number : 813-855-4277
Provider Business Practice Location Address
First Line : 4050 TAMPA RD
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-3205
Country : US
Telephone Number : 813-855-4269
Fax Number : 813-855-4277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2008
Last Update Date : 11/08/2017

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Directions to “ LORI ELIZABETH BURCHELL D.M.D” Practice Location

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