Provider Demographics
NPI:1114358165
Name:VENTOLA, LYNN A. (PHD, MSN, ARNP)
Entity Type:Individual
Prefix:DR
First Name:LYNN A.
Middle Name:
Last Name:VENTOLA
Suffix:
Gender:F
Credentials:PHD, MSN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 LAKE OSPREY DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8419
Mailing Address - Country:US
Mailing Address - Phone:941-907-3900
Mailing Address - Fax:
Practice Address - Street 1:6151 LAKE OSPREY DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34240-8419
Practice Address - Country:US
Practice Address - Phone:941-907-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-02
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9186293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily