Provider Demographics
NPI:1780665869
Name:FINN, LORI LYNN (DPM)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:LYNN
Last Name:FINN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:LYNN
Other - Last Name:BULANOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1855 VETERANS PARK DR STE 303
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0446
Mailing Address - Country:US
Mailing Address - Phone:239-260-5805
Mailing Address - Fax:239-260-5803
Practice Address - Street 1:1855 VETERANS PARK DR STE 303
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0446
Practice Address - Country:US
Practice Address - Phone:239-260-5805
Practice Address - Fax:239-260-5803
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2021-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 3010213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3983Medicare ID - Type UnspecifiedGROUP NUMBER
FLU95632Medicare UPIN