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NPI Code Detail

MEDICARE: MISS LORA NICOLE BRIONES

MEDICARE:  MISS LORA NICOLE BRIONES
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
13747A0650XAttendant Care ProviderFL

General Provider Information

NPI Number : 1053169482
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LORA NICOLE BRIONES
Provider Business Mailing Address
First Line : 4821 DIAMONDS PALM LOOP
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7160
Country : US
Telephone Number : 813-819-4298
Fax Number :
Provider Business Practice Location Address
First Line : 4821 DIAMONDS PALM LOOP
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7160
Country : US
Telephone Number : 813-819-4298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2024
Last Update Date : 05/09/2024

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Directions to “ MISS LORA NICOLE BRIONES ” Practice Location

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