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1639421332
LORI L COSTA
ENGLEWOOD, FL
NPI
1639421332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN9329122)
Enumeration Date
2012-10-05
Last Update Date
2024-01-03
Business Address
LORI L COSTA NP-C
3000 S MCCALL RD
ENGLEWOOD, FL 34224-8616
Phone number: 941-841-4200
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Mailing Address
LORI L COSTA NP-C
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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