Provider Demographics
NPI:1376180851
Name:DEMETER, LYNN (FNP-C)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:DEMETER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N MAITLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4489
Mailing Address - Country:US
Mailing Address - Phone:407-660-7100
Mailing Address - Fax:407-277-8168
Practice Address - Street 1:800 N MAITLAND AVE STE 103
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4499
Practice Address - Country:US
Practice Address - Phone:407-660-7100
Practice Address - Fax:407-277-8168
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005188363LF0000X
FLAPRN11005188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily