Provider Demographics
NPI:1205275112
Name:BARNES, LORI LEE (APRN)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:LEE
Last Name:BARNES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7527 REGENTS GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-1507
Mailing Address - Country:US
Mailing Address - Phone:941-447-5308
Mailing Address - Fax:813-672-3754
Practice Address - Street 1:9250 BAY PLAZA BLVD STE 319
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4464
Practice Address - Country:US
Practice Address - Phone:813-270-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9271328363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health