Provider Demographics
NPI:1942953666
Name:BAILEY, LENE CHRISTENSEN (LVN)
Entity Type:Individual
Prefix:
First Name:LENE
Middle Name:CHRISTENSEN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3138
Mailing Address - Country:US
Mailing Address - Phone:210-602-5082
Mailing Address - Fax:
Practice Address - Street 1:3206 WOODCREST DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3138
Practice Address - Country:US
Practice Address - Phone:210-602-5082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121034164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse