Provider Demographics
NPI:1669474797
Name:LEMOINE, CAROLYN SUE (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:SUE
Last Name:LEMOINE
Suffix:
Gender:F
Credentials:CPNP
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Mailing Address - Street 1:42 FOXFIRE LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71302
Mailing Address - Country:US
Mailing Address - Phone:318-445-3924
Mailing Address - Fax:318-964-2494
Practice Address - Street 1:ST. FRANCES CABRINI HOSPITAL SCHOOL BASED CENTERS
Practice Address - Street 2:3330 MASONIC DR.
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301
Practice Address - Country:US
Practice Address - Phone:318-964-2492
Practice Address - Fax:318-964-2494
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LARN035465 AP03357363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1571644Medicaid