DR. LULU AMORNMARN M.D. M.P.H. NPI 1477665263

NPI Information

NPI: 1477665263
Provider Name: DR. LULU AMORNMARN, M.D., M.P.H.
Classification: Internal Medicine - 207RA0201X
Entity Type: Individual

Specialization: Allergy & Immunology

Organization: ISLAND DOCTORS INTRASTATE LLC

PECOS Registration: Yes

Address:
8218 CHESTER LAKE RD N
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 613-8049
Get Directions

DR. Lulu Amornmarn, M.D., M.P.H. is an allergy and immunology internal medicine in Jacksonville, FL with 42 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. DR. Lulu Amornmarn, M.D., M.P.H. NPI is 1477665263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8218 CHESTER LAKE RD N
JACKSONVILLE, FL
ZIP 32256-401
Phone: (904) 613-8049

The NPI 1477665263 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		ME61020	FLORIDA	No
2	207RA0201X	Internal Medicine	Allergy & Immunology	ME61020	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1227935	OTHER		CIGNA
2	F80164	MEDICARE UPIN
3	030005313	OTHER		RAILROAD MEDICARE
4	BL140W	OTHER		MEDICARE PTAN
5	375111200	MEDICAID	FLORIDA
6	25126	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
7	2287707	OTHER		AETNA HMO
8	4641748	OTHER		AETNA PPO/POS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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