person
Mrs. Lori K Bourne, PA
Medical Physician Assistant in Merritt Island, Florida
NPI 1841449766

Lori K Bourne is a Medical Physician Assistant based in Medley, FL and is specialized in Medical. Lori K Bourne practices in Merritt Island, FL and has the professional credentials of PA. The NPI Number for Lori K Bourne is 1841449766 and holds a License No. PA2514 (Florida).

The current practice location address for Lori K Bourne is 1395 N Courtenay Pkwy Ste 106, Merritt Island, FL and can be reached out via phone at 321-452-1224 and via fax at 321-453-7784.

Location: 1395 N Courtenay Pkwy Ste 106, Merritt Island, FL, 33178-1175
person
Provider Profile Details
NPI Number
1841449766
Provider Name
Lori K Bourne
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1395 N Courtenay Pkwy Ste 106, Merritt Island, FL, 33178-1175
Phone Number
321-452-1224
Fax Number
321-453-7784
Provider Enumeration Date
09/16/2008
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1395 N Courtenay Pkwy Ste 106
City
State
Zip
32953-4474
Phone Number
321-452-1224
Fax Number
321-453-7784
person
Provider Business Mailing Address Details
Address
1395 N Courtenay Pkwy Ste 106
City
State
Zip
32953-4474
Phone Number
321-452-1224
Fax Number
321-453-7784
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2514 (Florida)
Definition
Definition to come...
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