Search › Florida › 174N00000X

Lori Shad

NPI 1598163529 · on the registry since 2014 · sole proprietor

Practice

Address
1616 Seminole Rd
Jacksonville, FL 32205
Phone
(904) 485-0861

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida