Provider Demographics
NPI:1851988133
Name:LEMOINE, COSMINA MARIOARA (QI3, CRM, CHT)
Entity type:Individual
Prefix:
First Name:COSMINA
Middle Name:MARIOARA
Last Name:LEMOINE
Suffix:
Gender:F
Credentials:QI3, CRM, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6753
Mailing Address - Country:US
Mailing Address - Phone:239-601-2966
Mailing Address - Fax:
Practice Address - Street 1:4725 NORMANDY DR
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6753
Practice Address - Country:US
Practice Address - Phone:239-601-2966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer