Provider Demographics
NPI:1407181597
Name:MONLUX, DALISA RENEE (LPN)
Entity Type:Individual
Prefix:
First Name:DALISA
Middle Name:RENEE
Last Name:MONLUX
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7281 SWEETHEART DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-8607
Mailing Address - Country:US
Mailing Address - Phone:740-680-3232
Mailing Address - Fax:
Practice Address - Street 1:7281 SWEETHEART DR
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-8607
Practice Address - Country:US
Practice Address - Phone:740-680-3232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 131723164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse