Active NPI
Lauren Dvorak
- Physician Assistant
- Fort Myers, FL
National Provider Identifier
1386506434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121639
- Practice address
- 2780 Cleveland Ave
Fort Myers, FL 33901-5858 - Phone
- (239) 343-3727
- Fax
- (239) 343-2086
- NPI assigned
- Nov 26, 2025
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9121639 | FL | Primary |
Addresses
Primary practice location
2780 Cleveland Ave
Fort Myers, FL 33901-5858
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3727
Other practice location 1
3437 Caroline St
Saint Louis, MO 63104-1111
Phone (314) 977-6338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131583000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ldvorak720323@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 2147
Fort Myers, FL 33902
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1386506434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-3727",
"fax_number": "239-343-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015858",
"telephone_number": "239-343-3727",
"fax_number": "239-343-2086"
}
],
"practiceLocations": [
{
"address_1": "3437 Caroline St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041111",
"country_code": "US",
"telephone_number": "314-977-6338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DVORAK",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-26",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131583000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ldvorak720323@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Myers, FL
- Melissa Mae Duston, DDS
- Denise Dutchak-Parmenter, M.D.
- Duxana Medical Center Corp (Integrated Care Centers)
- Dva Healthcare Renal Care Inc (Fort Myers South Dialysis)
- Dva Healthcare Renal Care Inc (Fort Myers Dialysis)
- Dwic of Tampa Bay, Inc (MedExpress Urgent Care - Fort Myers, S Cleveland Ave)
- Brendan Mark Dwyer, DDS
- Jeanne Marie Dyckman, AGACNP-BC
- Joyce Dyer
- Valerie R. Dyke, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.