Provider Demographics
NPI:1851907109
Name:FRIEDMAN, LAMONICA JEAN
Entity Type:Individual
Prefix:
First Name:LAMONICA
Middle Name:JEAN
Last Name:FRIEDMAN
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 1:3291 MACEDONIA RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:OH
Mailing Address - Zip Code:45106-9314
Mailing Address - Country:US
Mailing Address - Phone:513-200-4707
Mailing Address - Fax:
Practice Address - Street 1:3291 MACEDONIA RD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:OH
Practice Address - Zip Code:45106-9314
Practice Address - Country:US
Practice Address - Phone:513-200-4707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care