Provider Demographics
NPI:1417143561
Name:LENOIR, CATHERINE (LVN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:LENOIR
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 183491
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-3491
Mailing Address - Country:US
Mailing Address - Phone:817-690-8171
Mailing Address - Fax:
Practice Address - Street 1:6719 FAIRGLEN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76096
Practice Address - Country:US
Practice Address - Phone:817-690-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-22
Last Update Date:2012-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator