Provider Demographics
NPI:1972716850
Name:SMOLOWE, LOU ANNA H (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LOU ANNA
Middle Name:H
Last Name:SMOLOWE
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 1:2113 PALM VIEW DR.
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712
Mailing Address - Country:US
Mailing Address - Phone:407-701-3329
Mailing Address - Fax:407-884-5256
Practice Address - Street 1:1603 S. HIAWASSEE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835
Practice Address - Country:US
Practice Address - Phone:407-293-2150
Practice Address - Fax:407-293-4540
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1657002163WD0400X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ31341Medicare UPIN