Provider Demographics
NPI:1316060767
Name:LEMONS, CYNTHIA JEAN (RN)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:JEAN
Last Name:LEMONS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:KY
Mailing Address - Zip Code:40051-0056
Mailing Address - Country:US
Mailing Address - Phone:502-549-6310
Mailing Address - Fax:502-549-1400
Practice Address - Street 1:153 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:KY
Practice Address - Zip Code:40051-0056
Practice Address - Country:US
Practice Address - Phone:502-549-6310
Practice Address - Fax:502-549-1400
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1064436163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management