Provider Demographics
NPI:1811236466
Name:NZIGA-LEMO, YOLANDE
Entity Type:Individual
Prefix:DR
First Name:YOLANDE
Middle Name:
Last Name:NZIGA-LEMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19305 SANDY SPRINGS CIR
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-9734
Mailing Address - Country:US
Mailing Address - Phone:813-361-6008
Mailing Address - Fax:
Practice Address - Street 1:11701 BELCHER RD S
Practice Address - Street 2:STE 126
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-5135
Practice Address - Country:US
Practice Address - Phone:727-523-2515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist