MEDICARE: MS. LORI LYNN TIMMRECK ORTHOTIC FITTER

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	225000000X	Orthotic Fitter	ORF128	FL

General Provider Information

NPI Number	:	1871758672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORI LYNN TIMMRECK ORTHOTIC FITTER

Provider Business Mailing Address
First Line	:	4901 E SILVER SPRINGS BLVD
Second Line	:	SUITE#505
City	:	OCALA
State	:	FL
Zip	:	34470-3228
Country	:	US
Telephone Number	:	352-236-2599
Fax Number	:	352-236-2293

Provider Business Practice Location Address
First Line	:	4901 E SILVER SPRINGS BLVD
Second Line	:	SUITE#505
City	:	OCALA
State	:	FL
Zip	:	34470-3228
Country	:	US
Telephone Number	:	352-236-2599
Fax Number	:	352-236-2293

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

Provider Enumeration Date	:	07/22/2008
Last Update Date	:	07/22/2008

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Directions to “ MS. LORI LYNN TIMMRECK ORTHOTIC FITTER” Practice Location

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