Provider Demographics
NPI:1639841943
Name:LEBRON, LORNA LEBRON II (CLINICAL SOCIAL WORK)
Entity Type:Individual
Prefix:MISS
First Name:LORNA
Middle Name:LEBRON
Last Name:LEBRON
Suffix:II
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:BARRIO CALZADA
Mailing Address - Street 2:BUZON 141
Mailing Address - City:MAUNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00707
Mailing Address - Country:US
Mailing Address - Phone:787-316-7992
Mailing Address - Fax:
Practice Address - Street 1:CARR 3 KM 152.1
Practice Address - Street 2:BARRIADA LOPEZ BARRIO AGUIRRE
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751
Practice Address - Country:US
Practice Address - Phone:787-410-6076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR156461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR15646OtherCLINICAL SOCIAL WORKER