Provider Demographics
NPI:1023575750
Name:NWOZOR, LUCIANA F
Entity Type:Individual
Prefix:
First Name:LUCIANA
Middle Name:F
Last Name:NWOZOR
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 1:403 MILLWHEEL CT
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-3530
Mailing Address - Country:US
Mailing Address - Phone:434-258-0508
Mailing Address - Fax:
Practice Address - Street 1:403 MILLWHEEL CT
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-3530
Practice Address - Country:US
Practice Address - Phone:434-258-0508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-28
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401184164376K00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No376K00000XNursing Service Related ProvidersNurse's Aide