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NPI Code Detail

MEDICARE: DORA V. ANCAYA-LUJAN M.D.

MEDICARE:   DORA V. ANCAYA-LUJAN  M.D.
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
1208M00000XHospitalist PhysicianME109680FL
2207R00000XInternal Medicine PhysicianME109680FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3AQ117ZOTHERFLMEDICARE PTAN
5P00969463OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13458947OTHERFLCIGNA
29524087.OTHERFLAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
714F03OTHERFLBCBSFL

General Provider Information

NPI Number : 1821069030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORA V. ANCAYA-LUJAN M.D.
Provider Business Mailing Address
First Line : 2675 WINKLER AVE FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 877-856-3774
Fax Number :
Provider Business Practice Location Address
First Line : 13691 METRO PKWY STE 110A
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4348
Country : US
Telephone Number : 239-481-2400
Fax Number : 239-481-2662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 04/30/2025

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Directions to “ DORA V. ANCAYA-LUJAN M.D.” Practice Location

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