Provider Demographics
NPI:1710930649
Name:ESAREY, LORI R (ARNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:R
Last Name:ESAREY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 SANTA BARBARA BLVD.
Mailing Address - Street 2:STE B
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159
Mailing Address - Country:US
Mailing Address - Phone:352-259-5190
Mailing Address - Fax:352-669-9478
Practice Address - Street 1:1585 SANTA BARBARA BLVD.
Practice Address - Street 2:STE B
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:352-259-5190
Practice Address - Fax:352-669-9478
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2619882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7127Medicare ID - Type UnspecifiedLORI AKERS MS, ARNP-C, PA
FLY7097Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #
FLS54611Medicare UPIN