Provider Demographics
NPI:1235569153
Name:SONNIER, LAQUANNA LATRICE
Entity Type:Individual
Prefix:
First Name:LAQUANNA
Middle Name:LATRICE
Last Name:SONNIER
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 1:5075 SPYGLASS HILL DR
Mailing Address - Street 2:APT 1069
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-2776
Mailing Address - Country:US
Mailing Address - Phone:702-355-8844
Mailing Address - Fax:
Practice Address - Street 1:5075 SPYGLASS HILL DR
Practice Address - Street 2:APT 1069
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89142-2776
Practice Address - Country:US
Practice Address - Phone:702-355-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner