Individual
NIKETA DANYELL LONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
417 S JOHNSON ST, NEW ORLEANS, LA 70112-2237
(504) 524-7205
Mailing address
4828 EASTVIEW DR, NEW ORLEANS, LA 70126-4414
(504) 939-7423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20130203
LA
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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