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Lori L Costa, NP-C
Family Nurse Practitioner in Englewood, Florida
NPI 1639421332

Lori L Costa is a Family Nurse Practitioner based in Fort Myers, FL and is specialized in Family. Lori L Costa practices in Englewood, FL and has the professional credentials of NP-C. The NPI Number for Lori L Costa is 1639421332 and holds a License No. APRN9329122 (Florida).

The current practice location address for Lori L Costa is 3000 S Mccall Rd, Englewood, FL and can be reached out via phone at 941-841-4200 and via fax at 941-841-4201.

Location: 3000 S Mccall Rd, Englewood, FL, 33901-9342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639421332
Provider Name
Lori L Costa
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
3000 S Mccall Rd, Englewood, FL, 33901-9342
Phone Number
941-841-4200
Fax Number
941-841-4201
Provider Enumeration Date
10/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1FK6O 01 FL FLORIDA BLUE
015425400 05 FL
institution
Provider Business Practice Location Address Details
Address
3000 S Mccall Rd
City
Englewood
State
Florida
Zip
34224-8616
Phone Number
941-841-4200
Fax Number
941-841-4201
person
Provider Business Mailing Address Details
Address
3000 S Mccall Rd
City
Englewood
State
Florida
Zip
34224-8616
Phone Number
941-841-4200
Fax Number
941-841-4201
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN9329122 (Florida)
Definition
Definition to come...
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