Individual
LISA DORNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6417 3RD AVE W, BRADENTON, FL 34209-2314
(941) 792-4993
(941) 795-2905
Mailing address
6417 3RD AVE W, BRADENTON, FL 34209-2314
(941) 792-4993
(941) 795-2905
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
2861872
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1609232
FL
Other
Enumeration date
05/27/2006
Last updated
09/11/2025
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