Provider Demographics
NPI:1588997779
Name:DEJEAN, MARGARET R (LPN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:R
Last Name:DEJEAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:R
Other - Last Name:LAFOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:1280 S ALHAMBRA CIR
Mailing Address - Street 2:2404
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3147
Mailing Address - Country:US
Mailing Address - Phone:305-667-9832
Mailing Address - Fax:305-667-9832
Practice Address - Street 1:1280 S ALHAMBRA CIR
Practice Address - Street 2:2404
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3147
Practice Address - Country:US
Practice Address - Phone:305-667-9832
Practice Address - Fax:305-667-9832
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-07
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5182026164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse