Provider Demographics
NPI:1760850168
Name:LU, ESTRELLITA L (APRN)
Entity Type:Individual
Prefix:
First Name:ESTRELLITA
Middle Name:L
Last Name:LU
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:863-215-6639
Mailing Address - Fax:844-388-6186
Practice Address - Street 1:1950 LAUREL MANOR DR STE 210
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5602
Practice Address - Country:US
Practice Address - Phone:352-350-8800
Practice Address - Fax:407-694-9375
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2022-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9380991363LF0000X
FLARNP-9380991363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1114912607Medicare PIN