Provider Demographics
NPI:1710521612
Name:KILUBA, LENZI COLLEEN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:LENZI
Middle Name:COLLEEN
Last Name:KILUBA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 DANBURY LN
Mailing Address - Street 2:
Mailing Address - City:FORT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-2843
Mailing Address - Country:US
Mailing Address - Phone:513-801-9971
Mailing Address - Fax:
Practice Address - Street 1:1146 BANK ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45214-2163
Practice Address - Country:US
Practice Address - Phone:513-562-8841
Practice Address - Fax:513-345-1779
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.024307363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily