Provider Demographics
NPI:1922289958
Name:BELOTE, LORI G (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:G
Last Name:BELOTE
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 1:1402 PLUM STREET
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32053
Mailing Address - Country:US
Mailing Address - Phone:386-339-5308
Mailing Address - Fax:
Practice Address - Street 1:1402 PLUM STREET
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:FL
Practice Address - Zip Code:32053
Practice Address - Country:US
Practice Address - Phone:863-395-3083
Practice Address - Fax:386-792-2352
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3363162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily