Provider Demographics
NPI:1083878565
Name:VOTAPEK, LORI SUE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:SUE
Last Name:VOTAPEK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 MEDICAL BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1497
Mailing Address - Country:US
Mailing Address - Phone:239-513-0053
Mailing Address - Fax:239-596-0900
Practice Address - Street 1:1660 MEDICAL BLVD STE 300
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1497
Practice Address - Country:US
Practice Address - Phone:239-513-0053
Practice Address - Fax:239-596-0900
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9219763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1648968OtherCIGNA
FL7301928OtherAETNA
FLP958444OtherOPTIMUM
FLY127COtherBCBS OF FL
FLP01269668OtherRAILROAD MCR
FL009560900Medicaid
FLP1019885OtherFREEDOM
FLP1019885OtherFREEDOM
FL009560900Medicaid