Provider Demographics
NPI:1326271305
Name:ARCENEAUX, LASONNE JACINTA (LVN)
Entity Type:Individual
Prefix:MS
First Name:LASONNE
Middle Name:JACINTA
Last Name:ARCENEAUX
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8442
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77288-8442
Mailing Address - Country:US
Mailing Address - Phone:504-215-3766
Mailing Address - Fax:
Practice Address - Street 1:2380 S MACGREGOR WAY
Practice Address - Street 2:207
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-1159
Practice Address - Country:US
Practice Address - Phone:504-215-3766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222716164X00000X
LA20132414164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse