Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | PT23043 | FL |
NPI | 1124257464 |
---|---|
Provider Name | Lauri Michele Ranchel |
First Address | Tampa, FL 33647-3467 |
Second Address | Tampa, FL 33647-3467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 08/07/2009 |