MEDICARE: LOIS ANN COREY CRNA

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	367500000X	Certified Registered Nurse Anesthetist	ARNP831282	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538147624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIS ANN COREY CRNA

Provider Business Mailing Address
First Line	:	9694 GALLEY CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3177
Country	:	US
Telephone Number	:	239-989-3344
Fax Number	:

Provider Business Practice Location Address
First Line	:	9694 GALLEY CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3177
Country	:	US
Telephone Number	:	239-989-3344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	07/21/2022

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Directions to “ LOIS ANN COREY CRNA” Practice Location

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