Provider Demographics
NPI:1063157402
Name:ZENO, LYCHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:LYCHELLE
Middle Name:
Last Name:ZENO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 ROBIN ST
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-4904
Mailing Address - Country:US
Mailing Address - Phone:985-212-9244
Mailing Address - Fax:
Practice Address - Street 1:3001 DIVISION ST STE 202
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5855
Practice Address - Country:US
Practice Address - Phone:504-262-8890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor