Provider Demographics
NPI:1083195861
Name:LEMONS, LINDA LA RUE (LVN)
Entity Type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:LA RUE
Last Name:LEMONS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 PASEO DEL COBRE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3430
Mailing Address - Country:US
Mailing Address - Phone:254-624-1679
Mailing Address - Fax:
Practice Address - Street 1:1318 PASEO DEL COBRE
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-3430
Practice Address - Country:US
Practice Address - Phone:254-624-1679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX179658164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse