Provider Demographics
NPI:1033520119
Name:LONSKI, JANAE ANNE
Entity Type:Individual
Prefix:
First Name:JANAE
Middle Name:ANNE
Last Name:LONSKI
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 1:9815 W WHITE FEATHER LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-2928
Mailing Address - Country:US
Mailing Address - Phone:480-363-4182
Mailing Address - Fax:
Practice Address - Street 1:9069 W LAKE PLEASANT PKWY
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8361
Practice Address - Country:US
Practice Address - Phone:623-376-0549
Practice Address - Fax:623-362-3431
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS014989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist