Provider Demographics
NPI:1154672764
Name:LOHNER, JUANITA D (CNA)
Entity Type:Individual
Prefix:
First Name:JUANITA
Middle Name:D
Last Name:LOHNER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 NESBITT ST
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-7614
Mailing Address - Country:US
Mailing Address - Phone:386-479-5030
Mailing Address - Fax:
Practice Address - Street 1:1731 NESBITT ST
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-7614
Practice Address - Country:US
Practice Address - Phone:386-479-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228637376K00000X
WI296450376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide