Individual provider · Type 1 NPI

Cory Lord, ARNP

Nurse Practitioner · Lakeland, FL

NPI number 1619007002 Active

Practice location

130 Pablo St
Lakeland, FL 33803-3818

Fax (863) 284-5199

Mailing address

1225 Havendale Blvd NW, Apt 338
Winter Haven, FL 33881-1393

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XARNP2962462 (FL)
Nurse Practitioner Primary 363L00000XARNP2962462 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619007002

Cory Lord, ARNP's National Provider Identifier is 1619007002, issued on Mar 6, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakeland, FL. The record was last updated on Oct 12, 2016.