Provider Demographics
NPI:1336556109
Name:SARLO, LUCIANA (LPN)
Entity Type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:SARLO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9468 E FLORIDA AVE APT 2045
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-7825
Mailing Address - Country:US
Mailing Address - Phone:303-968-6596
Mailing Address - Fax:
Practice Address - Street 1:9468 E FLORIDA AVE APT 2045
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-7825
Practice Address - Country:US
Practice Address - Phone:303-968-6596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0330950164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse