Provider Demographics
NPI:1003478751
Name:GUIONNAUD, LOIS MARIA
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:MARIA
Last Name:GUIONNAUD
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 1:1451 LONGARZO PL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-4767
Mailing Address - Country:US
Mailing Address - Phone:561-252-3406
Mailing Address - Fax:
Practice Address - Street 1:1451 LONGARZO PL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-4767
Practice Address - Country:US
Practice Address - Phone:561-252-3406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer