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NPI Code Detail

MEDICARE: DR. LIDIA OKONSKI M.D

MEDICARE: DR. LIDIA OKONSKI 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
12084P0800XPsychiatry PhysicianME036300FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982828075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIDIA OKONSKI M.D
Provider Business Mailing Address
First Line : 2789 ORTIZ AVENUE
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7806
Country : US
Telephone Number : 239-275-3222
Fax Number : 239-275-6037
Provider Business Practice Location Address
First Line : 2789 ORTIZ AVENUE
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7806
Country : US
Telephone Number : 239-275-3222
Fax Number : 239-275-6037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 04/12/2026

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