Provider Demographics
NPI:1629229919
Name:LOPES, IONE DORNELLES (LPN)
Entity Type:Individual
Prefix:MRS
First Name:IONE
Middle Name:DORNELLES
Last Name:LOPES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:IONE
Other - Middle Name:DORNELLES
Other - Last Name:DA PAIXAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-4340
Mailing Address - Country:US
Mailing Address - Phone:774-202-1898
Mailing Address - Fax:774-202-1898
Practice Address - Street 1:41 BROWN ST
Practice Address - Street 2:
Practice Address - City:FAIRHAVEN
Practice Address - State:MA
Practice Address - Zip Code:02719-4340
Practice Address - Country:US
Practice Address - Phone:774-202-1898
Practice Address - Fax:774-202-1898
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-04
Last Update Date:2008-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA52107164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse