MEDICARE: DR. LISA ADAMCZYK APN

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	11011153	FL
2	367A00000X	Advanced Practice Midwife	11011153	FL

General Provider Information

NPI Number	:	1518970508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA ADAMCZYK APN

Provider Business Mailing Address
First Line	:	3339 TAMIAMI TRL E
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5361
Country	:	US
Telephone Number	:	392-528-5512
Fax Number	:

Provider Business Practice Location Address
First Line	:	3339 TAMIAMI TRL E
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5361
Country	:	US
Telephone Number	:	239-252-8551
Fax Number	:

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

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	09/03/2025

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