Provider Demographics
NPI:1366512840
Name:LORI ABRAMS DO PL
Entity type:Organization
Organization Name:LORI ABRAMS DO PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO PL
Authorized Official - Phone:941-953-5340
Mailing Address - Street 1:3131 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5101
Mailing Address - Country:US
Mailing Address - Phone:941-953-5340
Mailing Address - Fax:941-955-8568
Practice Address - Street 1:3131 S TAMIAMI TRL
Practice Address - Street 2:SUITE 202
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5101
Practice Address - Country:US
Practice Address - Phone:941-953-5340
Practice Address - Fax:941-955-8568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7418207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4945Medicare ID - Type UnspecifiedMEDICARE
FLX99804Medicare UPIN