Mrs. Lori K. Bourne P.A.
Medical Physician Assistant in Melbourne, FL(View on Map)
Full Name
Mrs. Lori K Bourne P.A.
NPI Number
1841449766
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/16/2008
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA2514
Contact
Information
Purpose
Mailing
Location
Address
1223 GATEWAY DR
1350 HICKORY ST
City
Melbourne
Melbourne
State
FL
FL
Postal Code
32901-2607
32901-3224
Country
US
US
Telephone Number
(321) 434-1771
(321) 434-1771
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/15/2013
Provider Address
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