Healthcare Provider Details

I. General information

NPI: 1356745103
Provider Name (Legal Business Name): LORI ANN SOTEROS F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2014
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8358 N BEL AIR RD
CASA GRANDE AZ
85194-9613
US

IV. Provider business mailing address

8358 N BEL AIR RD
CASA GRANDE AZ
85194-9613
US

V. Phone/Fax

Practice location:
  • Phone: 563-343-7425
  • Fax: 520-509-3760
Mailing address:
  • Phone: 563-343-7425
  • Fax: 520-509-3760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7491
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: