Lorraine Ann Luis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9117000 Issued in FL

Practice address

8981 Colonial Center Dr
Fort Myers, FL 33905-7816

Phone

(239) 938-0800

Fax

(239) 938-0890

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lorraine Ann Lopez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1174212211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8981 COLONIAL CENTER DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057816",
            "telephone_number": "239-938-0800",
            "fax_number": "239-938-0890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8260 Gladiolus Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084156",
            "country_code": "US",
            "telephone_number": "239-437-5755",
            "fax_number": "239-437-5776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8440 Murano Del Lago Dr",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "341358615",
            "country_code": "US",
            "telephone_number": "239-221-5402",
            "fax_number": "239-949-5713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Commerce Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339096529",
            "country_code": "US",
            "telephone_number": "239-997-3081",
            "fax_number": "239-997-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUIS",
        "first_name": "LORRAINE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "LOPEZ",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stanley Garken Lue, MD
• Glen A Luehrman, MD
• Erin Renee Luettich, AUD
• Idania Lugo Alvarez
• Madison Paige Luig, MS, CCC-SLP
• Deepa Vaduthalakuzhy Luka, MD
• Cynthia Ann Lukasiewicz, DO
• Gillian Lukoic
• Matthew Lum
• Chrystal Luna

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.