| Doctor Name: | LORI ANN ANTHONY |
| NPI Number: | 1033319546 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PA3370 |
| Business Practice Address: | 142 John F Kennedy Dr Lake Worth, FL - 334621159 |
| Business Phone Number: | 5614391500 |
| Business Fax Number: | 5614399902 |
| Mailing Address: | 2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept. FORT MYERS |
| State: | FL |
| Postal Code: | 339071412 |
| Phone Number: | 2399317342 |
| Fax Number: | 2399317385 |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SM0705X |
| License Number: | PA3370 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |