Provider Demographics
NPI:1467695700
Name:LENOX, HEATHER M (WHNP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:LENOX
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4540 AMB CAFFERY PKWY
Mailing Address - Street 2:STE C 220
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6928
Mailing Address - Country:US
Mailing Address - Phone:337-216-0000
Mailing Address - Fax:337-216-0009
Practice Address - Street 1:4540 AMB CAFFERY PKWY
Practice Address - Street 2:STE C 220
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6928
Practice Address - Country:US
Practice Address - Phone:337-216-0000
Practice Address - Fax:337-216-0009
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LARN108618-AP05729363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health