Provider Demographics
NPI:1992468201
Name:ZENO, LILA CATHERINE (DNP)
Entity Type:Individual
Prefix:
First Name:LILA
Middle Name:CATHERINE
Last Name:ZENO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4161 HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-7230
Mailing Address - Country:US
Mailing Address - Phone:501-658-0073
Mailing Address - Fax:
Practice Address - Street 1:3304 COMMONWEALTH DR
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7033
Practice Address - Country:US
Practice Address - Phone:501-205-7020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily