MEDICARE: MS. LAURA C. LEMMENES ARNP, DNP

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	209000138	IL
2	363LF0000X	Family Nurse Practitioner	ARNP9387040	FL

General Provider Information

NPI Number	:	1750482592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA C. LEMMENES ARNP, DNP

Provider Business Mailing Address
First Line	:	21157 BELLA TERRA BLVD
Second Line	:
City	:	ESTERO
State	:	FL
Zip	:	33928-8359
Country	:	US
Telephone Number	:	708-516-2892
Fax Number	:

Provider Business Practice Location Address
First Line	:	2718 LEE BLVD
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33971-1537
Country	:	US
Telephone Number	:	239-303-9298
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/09/2018

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