Provider Demographics
NPI:1275836207
Name:SAPONI, LUCIA H
Entity Type:Individual
Prefix:
First Name:LUCIA
Middle Name:H
Last Name:SAPONI
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 1:3005 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-8764
Mailing Address - Country:US
Mailing Address - Phone:901-759-1382
Mailing Address - Fax:
Practice Address - Street 1:3005 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-8764
Practice Address - Country:US
Practice Address - Phone:901-759-1382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1958172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker