Provider Demographics
NPI:1235155300
Name:LORI AKERS MS ARNP C PA
Entity Type:Organization
Organization Name:LORI AKERS MS ARNP C PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:R
Authorized Official - Last Name:ESAREY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-636-9880
Mailing Address - Street 1:39830 COUNTY ROAD 452
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-8354
Mailing Address - Country:US
Mailing Address - Phone:352-636-9880
Mailing Address - Fax:352-669-9478
Practice Address - Street 1:39830 COUNTY ROAD 452
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-8354
Practice Address - Country:US
Practice Address - Phone:352-636-9880
Practice Address - Fax:352-669-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2619882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7127Medicare ID - Type UnspecifiedGROUP MCARE #
FLS54611Medicare UPIN