MEDICARE: ANNE LORD DO, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	OS9878	FL
2	207VG0400X	Gynecology Physician	OS9883	FL

General Provider Information

NPI Number	:	1326272733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE LORD DO, PA

Provider Business Mailing Address
First Line	:	12650 WORLD PLAZA LN BLDG 72-2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4077
Country	:	US
Telephone Number	:	239-656-9006
Fax Number	:	239-236-1595

Provider Business Practice Location Address
First Line	:	12650 WORLD PLAZA LN BLDG 72
Second Line	:	SUITE 2
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3987
Country	:	US
Telephone Number	:	239-656-9006
Fax Number	:	239-372-0269

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANNE M LORD
Credential	:	DO
Telephone Number	:	239-656-9006

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	08/05/2024

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Directions to “ANNE LORD DO, PA ” Practice Location

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