Provider Demographics
NPI:1578151684
Name:BAILEY, LONNESHA DOMIMIQUE (STNA)
Entity Type:Individual
Prefix:MS
First Name:LONNESHA
Middle Name:DOMIMIQUE
Last Name:BAILEY
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2220
Mailing Address - Country:US
Mailing Address - Phone:513-206-0026
Mailing Address - Fax:
Practice Address - Street 1:3225 WESTBROOK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2220
Practice Address - Country:US
Practice Address - Phone:513-206-0026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker