Doctor Name: | MRS. LORI LEONE CRUGER |
NPI Number: | 1205938719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 9201618 |
Business Practice Address: | 326 Lake Shepard Dr Apopka, FL - 327031665 |
Business Phone Number: | 4072678778 |
Business Fax Number: | |
Mailing Address: | 326 Lake Shepard Dr, APOPKA |
State: | FL |
Postal Code: | 327031665 |
Phone Number: | 4072678778 |
Fax Number: | 4078893078 |
NPI Enumeration Date: | 09/04/2006 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | ARNP 9201618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |