Provider Demographics
NPI:1952597437
Name:LORD, CURT (PRACTICAL NURSE)
Entity Type:Individual
Prefix:MR
First Name:CURT
Middle Name:
Last Name:LORD
Suffix:
Gender:M
Credentials:PRACTICAL NURSE
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1106 DRUID RD S
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3846
Mailing Address - Country:US
Mailing Address - Phone:727-446-5681
Mailing Address - Fax:727-462-5681
Practice Address - Street 1:1106 DRUID RD S
Practice Address - Street 2:SUITE 301
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3846
Practice Address - Country:US
Practice Address - Phone:727-446-5681
Practice Address - Fax:727-462-5681
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPN-0907651364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPN 0907651OtherPRACTICAL NURSE