Individual
LAJIA D GREENHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
110 CYPRESS STATION DR, HOUSTON, TX 77090-1630
(832) 253-1188
Mailing address
PO BOX 1880, CLEVELAND, TX 77328-1880
(832) 306-9166
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
169605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16931084
DRIVERS LICENSE
TX
01
—
169605
LVN LICENSE
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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