MEDICARE: MRS. LOIS KIMBERLY STEINBAUM APRN

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	363LF0000X	Family Nurse Practitioner	11024063	FL

General Provider Information

NPI Number	:	1033817002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LOIS KIMBERLY STEINBAUM APRN

Provider Business Mailing Address
First Line	:	373 MAGNOLIA PL
Second Line	:
City	:	DEBARY
State	:	FL
Zip	:	32713-3963
Country	:	US
Telephone Number	:	407-791-3518
Fax Number	:

Provider Business Practice Location Address
First Line	:	2864 WELLNESS AVE STE 200
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8335
Country	:	US
Telephone Number	:	386-775-0333
Fax Number	:

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

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/20/2023

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