MEDICARE: LORIE-ANN LOVE

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	225X00000X	Occupational Therapist	26432	FL

General Provider Information

NPI Number	:	1689504730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORIE-ANN LOVE

Provider Business Mailing Address
First Line	:	2380 N SHAMROCK RD
Second Line	:
City	:	AVON PARK
State	:	FL
Zip	:	33825-9429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4410 S FLORIDA CT
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33813-1712
Country	:	US
Telephone Number	:	863-271-4519
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ LORIE-ANN LOVE ” Practice Location

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