LISA LU (NPI# 1245711993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245711993 |
| Entity Type | Individual |
| Full Name | LISA LU |
| Practice Address |
11600 Gladiolus Dr Fort Myers FL 33908-4567 |
| Mailing Address |
5468 Ashton Manor Dr Sarasota FL 34233-5214 |
| Practice Telephone | 2394373681 |
| Mailing Telephone | 9415493619 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 58245 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063864452 | Lisa Lu | Optometrist | 7075 N Sharon Ave, Fresno, CA 93720 | 2016-07-08 |
| 1881027357 | Lisa S Lu | Pharmacist | 421 Ryders Ln, East Brunswick, NJ 08816-2700 | 2013-08-19 |
| 1245662154 | Lisa H Lu | Clinical Neuropsychologist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2013-08-01 |
| 1366633299 | Lisa Lu | Marriage & Family Therapist | 3530 Atlantic Ave, Suite 210, Long Beach, CA 90807-4569 | 2007-08-06 |
| Street Address |
11600 GLADIOLUS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245293364 | Len Aaron Brown | Optometrist | 11600 Gladiolus Dr, Suite # 109, Fort Myers, FL 33908-4567 | 2006-04-10 |
| 1215483631 | Stephanie Lynn Thompson | Pharmacist | 11600 Gladiolus Dr, Fort Myers, FL 33908-4567 | 2016-08-26 |
| 1518204114 | Lavila C Nancarrow | Pharmacist | 11600 Gladiolus Dr, Fort Myers, FL 33908-4567 | 2013-01-16 |
| 1013254879 | Dimitri Draulans | Pharmacist | 11600 Gladiolus Dr, Fort Myers, FL 33908-4567 | 2013-01-12 |
| 1649517699 | Michael Stephen Mallouk | Pharmacist | 11600 Gladiolus Dr, Fort Myers, FL 33908-4567 | 2013-01-10 |
| 1669778353 | Flora Bentsi-enchill | Dentist | 11600 Gladiolus Dr, Suite A102-a103, Fort Myers, FL 33908-4567 | 2011-01-28 |
| 1386780849 | Peter Stickney | Dentist | 11600 Gladiolus Dr, #a 102-103, Fort Myers, FL 33908-4567 | 2007-01-30 |
| 1639110133 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 11600 Gladiolus Dr, Fort Myers, FL 33908-4567 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190678 | Melinda S Garner | Pharmacist | 14390 Reflection Lakes Dr, Fort Myers, FL 33907-1805 | 2020-10-05 |
| 1134766595 | Mamta Pradip Patel | Pharmacist | 9305 River Otter Dr, Fort Myers, FL 33912-8925 | 2019-12-04 |
| 1033754445 | Sherin Abraham George | Pharmacist | 15320 Sonoma Dr Apt 108, Fort Myers, FL 33908-7302 | 2019-11-08 |
| 1619512068 | Hardipsinh Gohil | Pharmacist | 14821 6 Mile Cypress Pkwy, Fort Myers, FL 33912-4467 | 2019-11-08 |
| 1417591983 | Mittal Chaudhari | Pharmacist | 9131 College Pkwy Ste 101, Fort Myers, FL 33919-4827 | 2019-10-29 |
| 1265095434 | Jon Thompson | Pharmacist | 8900 Oliveria St Apt 9703, Fort Myers, FL 33912-8992 | 2019-04-15 |
| 1447718705 | Archana Yamsani | Pharmacist | 18911 S Tamiami Trl, Fort Myers, FL 33908-4734 | 2019-03-06 |
| 1316418197 | Kellen Elayne Danley | Pharmacist | 12401 Commerce Lakes Dr Unit C, Fort Myers, FL 33913-8663 | 2018-12-05 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on LISA LU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.