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General NPI Number Information
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NPI Number | 1326272733
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Entity Type | Organization
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Legal Business Name | ANNE LORD DO, PA
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 12650 WORLD PLAZA LN BLDG 72 SUITE 2
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City | FORT MYERS
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State | FL
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Zip | 33907-3987
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Country | US
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Telephone | 239-656-9006
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Fax | 239-372-0269
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Provider Business Mailing Address
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Address Line | 12650 WORLD PLAZA LN BLDG 72-2
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City | FORT MYERS
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State | FL
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Zip | 33907-4077
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Country | US
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Telephone | 239-656-9006
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Fax | 239-236-1595
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANNE M LORD
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Credential | DO
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Telephone | 239-656-9006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS9878
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | OS9883
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License Number State | FL
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