Provider Demographics
NPI:1285823575
Name:HOMENTCOVSCHI, ZENAIDA MIRELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZENAIDA
Middle Name:MIRELA
Last Name:HOMENTCOVSCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZENAIDA
Other - Middle Name:MIRELA
Other - Last Name:DIACONU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:901 E MOUNT HOPE AVE
Mailing Address - Street 2:WELL CHILD CLINIC
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-3207
Mailing Address - Country:US
Mailing Address - Phone:517-372-9175
Mailing Address - Fax:517-372-9188
Practice Address - Street 1:901 E MOUNT HOPE AVE
Practice Address - Street 2:WELL CHILD CLINIC
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3207
Practice Address - Country:US
Practice Address - Phone:517-372-9175
Practice Address - Fax:517-372-9188
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085884208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics