Most Relevant Information
Provider Data
| NPI Number: | 1003072299 |
| Provider Name: | LORE EARLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2008 |
| Last Updated: | 08/06/2008 |
Provider Practice Location
7410 S US HIGHWAY 1
403
PORT ST LUCIE
FL
349521432
Practice Location Phone/Fax
| Phone: | 7723405044 |
| Fax: |
Provider Mailing Location
7410 S US HIGHWAY 1
403
PORT ST LUCIE
FL
349521432
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |