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

Lori K Bourne is a Medical Physician Assistant based in Melbourne, FL and is specialized in Medical. Lori K Bourne practices in Melbourne, 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 1350 Hickory St, Melbourne, FL and can be reached out via phone at 321-434-1771 and via fax at 321-434-1775.

Location: 1350 Hickory St, Melbourne, FL, 32901-2607
person
Provider Profile Details
NPI Number
1841449766
Provider Name
Lori K Bourne
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1350 Hickory St, Melbourne, FL, 32901-2607
Phone Number
321-434-1771
Fax Number
321-434-1775
Provider Enumeration Date
09/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1350 Hickory St
City
State
Zip
32901-3224
Phone Number
321-434-1771
Fax Number
321-434-1775
person
Provider Business Mailing Address Details
Address
1350 Hickory St
City
State
Zip
32901-3224
Phone Number
321-434-1771
Fax Number
321-434-1775
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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