Provider Demographics
NPI:1235359639
Name:SILVA, LENORE ROSE (MA)
Entity Type:Individual
Prefix:MS
First Name:LENORE
Middle Name:ROSE
Last Name:SILVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:LENORE
Other - Middle Name:ROSE
Other - Last Name:NARVY (ALSO, LONGENECKER)
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2635 LAVERY CT
Mailing Address - Street 2:#1
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-1517
Mailing Address - Country:US
Mailing Address - Phone:805-499-8273
Mailing Address - Fax:
Practice Address - Street 1:1305 DEL NORTE RD
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-8436
Practice Address - Country:US
Practice Address - Phone:805-485-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF41756390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program