Individual
DORA V. ANCAYA-LUJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13691 METRO PKWY STE 110A, FORT MYERS, FL 33912-4348
(239) 481-2400
(239) 481-2662
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME109680
FL
208M00000X
Hospitalist Physician
ME109680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003825700
—
FL
05
—
114608900
—
FL
01
—
14F03
BCBSFL
FL
01
—
3458947
CIGNA
FL
01
—
9524087.
AETNA
FL
01
—
AQ117Z
MEDICARE PTAN
FL
01
—
P00969463
RR MEDICARE
FL
Enumeration date
01/27/2006
Last updated
04/30/2025
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