Provider Demographics
NPI:1942508189
Name:CESAR, LONNA L (RN)
Entity Type:Individual
Prefix:MS
First Name:LONNA
Middle Name:L
Last Name:CESAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W9058 COUNTY ROAD A
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-2449
Mailing Address - Country:US
Mailing Address - Phone:262-510-5180
Mailing Address - Fax:
Practice Address - Street 1:W9058 COUNTY ROAD A
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-2449
Practice Address - Country:US
Practice Address - Phone:262-510-5180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-12
Last Update Date:2011-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI169042-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse