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NPI Code Detail

MEDICARE: MRS. LORI DRISCOLL

MEDICARE:  MRS. LORI  DRISCOLL
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
11041C0700XClinical Social WorkerISW7872FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285019208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LORI DRISCOLL
Provider Business Mailing Address
First Line : 3368 PICKWICK DR S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-5413
Country : US
Telephone Number : 904-333-3105
Fax Number :
Provider Business Practice Location Address
First Line : 3368 PICKWICK DR S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-5413
Country : US
Telephone Number : 904-333-3105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 07/21/2015

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Directions to “ MRS. LORI DRISCOLL ” Practice Location

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