Provider Demographics
NPI:1104474998
Name:SCHEMENAUER, LAUREEN VIRGINIA
Entity type:Individual
Prefix:
First Name:LAUREEN
Middle Name:VIRGINIA
Last Name:SCHEMENAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 SW 58TH CT
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-7315
Mailing Address - Country:US
Mailing Address - Phone:954-581-0546
Mailing Address - Fax:
Practice Address - Street 1:6020 SW 58TH CT
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-7315
Practice Address - Country:US
Practice Address - Phone:954-581-0546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider