Provider Demographics
NPI:1205384617
Name:ZERANGUE, LENA (REPT, CNIM)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:ZERANGUE
Suffix:
Gender:F
Credentials:REPT, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STONEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-5826
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2150 TOWN SQUARE PL
Practice Address - Street 2:290
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1465
Practice Address - Country:US
Practice Address - Phone:281-768-6747
Practice Address - Fax:281-768-6766
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic