NPI 1407359276

John Raymond Cormier, APRN

Practitioner Acupuncturist Lake City, FL

Practice location

Address: 1009 SW Main Blvd STE 110, Lake City, FL 32025-5784
Phone: (386) 628-1088
Mailing address: 595 SW Infinity Pl, Lake City, FL 32024-5378

Registered specialties (2)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 3926 (FL)

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Emergency Registered Nurse

Nursing Service Providers Taxonomy 163WE0003X Licence 3390372 (FL)

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Registry record

NPI: 1407359276
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2018
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.