Dr. Lori Marie Deblasi
Foot Surgery
1645 Colonial Blvd
Fort Myers
, Florida 33907-1101
Dr. Lori Marie Deblasi
Foot Surgery
1645 Colonial Blvd
Fort Myers
, Florida 33907-1101
(239) 692-9436
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Lori Marie Deblasi
- 730 Goodlette Rd Ste 102
- Naples, FL
- Zip : 34102-5617
- Fax : (239) 692-9436
- Phone : (239) 430-3668
Second Address
- Dr. Lori Marie Deblasi
- 1645 Colonial Blvd
- Fort Myers, FL
- Zip : 33907-1101
- Fax : (239) 692-9436
- Phone : (239) 430-3668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 4222 | FL |
National Provider Identifier
| NPI | 1144216508 |
|---|---|
| Provider Name | Dr. Lori Marie Deblasi |
| First Address | Naples, FL 34102-5617 |
| Second Address | Fort Myers, FL 33907-1101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 03/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 10790442 | CAQH (01) | OH |
| 2215481 | (05) | OH |
| 641 | SC MEDICAL LICENSE (01) | SC |
| PD6416 | (05) | SC |
| U75033 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.