Individual
DR. LORA ANN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12511 WORLD PLAZA LN BLDG 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Mailing address
12511 WORLD PLAZA LN BLDG 50, FORT MYERS, FL 33907-3991
(239) 939-2622
(239) 939-0151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101009746
MI
207L00000X
Anesthesiology Physician
Primary
OS14218
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4195456
—
MI
01
—
LS009746
BCBSM
—
Enumeration date
01/31/2006
Last updated
09/30/2016
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