Provider Demographics
NPI:1497277479
Name:DE LA CRUZ, LONA JOANNE
Entity Type:Individual
Prefix:
First Name:LONA
Middle Name:JOANNE
Last Name:DE LA CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 MUIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-7736
Mailing Address - Country:US
Mailing Address - Phone:805-302-2533
Mailing Address - Fax:
Practice Address - Street 1:1911 MUIRFIELD DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-7736
Practice Address - Country:US
Practice Address - Phone:805-302-2533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health