Deblasi, Lori Marie
Deblasi, Lori Marie is an sole proprietor health care provider with primary practice located at 1645 Colonial Blvd , Fort Myers FL 33907-1101. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Deblasi, Lori Marie can be contacted via phone (239) 430-3668.Contact Information
Primary practice address
1645 Colonial Blvd
Fort Myers FL 33907-1101
Phone: (239) 430-3668
Fax: (239) 692-9436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 4222 | Florida |
Profile Details
| NPI number | 1144216508 |
|---|---|
| LBN Legal business name | Deblasi, Lori Marie |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Sep 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144216508 | NPPES |
| South Carolina | MEDICAID | PD6416 | |
| South Carolina | Other | 10790442 | |
| South Carolina | MEDICAID | 2215481 | |
| South Carolina | Other | 641 |
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