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Contact Information

LORI L DOUGLASS
4711 HURON DR
PENSACOLA, FL32507
 Phone: 850-261-7769
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for LORI L DOUGLASS · (Female)

NPI Number 1205033842
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2007
Last updated 07/11/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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