MEDICARE: DR. LORI LEE BARNES 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	363LA2200X	Adult Health Nurse Practitioner	APRN9271328	FL

General Provider Information

NPI Number	:	1205275112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI LEE BARNES APRN

Provider Business Mailing Address
First Line	:	7527 REGENTS GARDEN WAY
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-1507
Country	:	US
Telephone Number	:	941-447-5308
Fax Number	:	813-672-3754

Provider Business Practice Location Address
First Line	:	9250 BAY PLAZA BLVD STE 319
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4464
Country	:	US
Telephone Number	:	813-270-9300
Fax Number	:

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

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	10/27/2020

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