Provider Demographics
NPI:1861749533
Name:SANTIAGO-PLATO, LORILEE K (APRN)
Entity type:Individual
Prefix:MRS
First Name:LORILEE
Middle Name:K
Last Name:SANTIAGO-PLATO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LORILEE
Other - Middle Name:
Other - Last Name:HARTIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1395 S PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-3790
Mailing Address - Country:US
Mailing Address - Phone:727-942-5054
Mailing Address - Fax:727-942-5160
Practice Address - Street 1:1501 S PINELLAS AVE STE G
Practice Address - Street 2:
Practice Address - City:TARPON SPGS
Practice Address - State:FL
Practice Address - Zip Code:34689-1950
Practice Address - Country:US
Practice Address - Phone:727-943-3405
Practice Address - Fax:727-937-2269
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9211789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily