Provider Demographics
NPI:1780829960
Name:MARAON, SAUL LOMOCSO (LVN)
Entity Type:Individual
Prefix:MR
First Name:SAUL
Middle Name:LOMOCSO
Last Name:MARAON
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5767 E GARRETT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-8830
Mailing Address - Country:US
Mailing Address - Phone:559-840-3925
Mailing Address - Fax:
Practice Address - Street 1:5767 E GARRETT AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-8830
Practice Address - Country:US
Practice Address - Phone:559-840-3925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN206795164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse