Provider Demographics
NPI:1962176438
Name:GEBREYHONES, LULA A
Entity type:Individual
Prefix:
First Name:LULA
Middle Name:A
Last Name:GEBREYHONES
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 1:8460 SEALYHAM DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-4760
Mailing Address - Country:US
Mailing Address - Phone:614-684-8880
Mailing Address - Fax:
Practice Address - Street 1:8460 SEALYHAM DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-4760
Practice Address - Country:US
Practice Address - Phone:614-684-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)