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NPI Code Detail

MEDICARE: LORRAINE STOCKI

MEDICARE: LORRAINE STOCKI
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
1314000000XSkilled Nursing FacilityOTA10796FL

General Provider Information

NPI Number : 1043619471
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRAINE STOCKI
Provider Business Mailing Address
First Line : 1350 SLEEPY HILL RD FL 33810
Second Line :
City : LAKELAND
State : FL
Zip : 33810-3800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1350 SLEEPY HILL RD FL 33810
Second Line :
City : LAKELAND
State : FL
Zip : 33810-3800
Country : US
Telephone Number : 863-858-4402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2014
Last Update Date : 08/21/2014

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Directions to “ LORRAINE STOCKI ” Practice Location

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