Provider Demographics
NPI:1467895987
Name:SAYERS DE FUNES, LENORE BETH (LICAP)
Entity Type:Individual
Prefix:
First Name:LENORE
Middle Name:BETH
Last Name:SAYERS DE FUNES
Suffix:
Gender:F
Credentials:LICAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 ALMERIA AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5947
Mailing Address - Country:US
Mailing Address - Phone:941-724-6399
Mailing Address - Fax:
Practice Address - Street 1:4370 S TAMIAMI TRL STE 312
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3495
Practice Address - Country:US
Practice Address - Phone:941-724-6399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1722171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist