Provider Demographics
NPI:1376161794
Name:VARONE, LENA MARIE (DMD)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:MARIE
Last Name:VARONE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 TERRAMAR ST APT 1102
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4038
Mailing Address - Country:US
Mailing Address - Phone:919-830-8886
Mailing Address - Fax:
Practice Address - Street 1:2740 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4113
Practice Address - Country:US
Practice Address - Phone:954-924-4738
Practice Address - Fax:954-938-3527
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-251061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice