Provider Demographics
NPI:1396513826
Name:WINAKUR, LUZMERY
Entity type:Individual
Prefix:
First Name:LUZMERY
Middle Name:
Last Name:WINAKUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 LE FORGE CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1225
Mailing Address - Country:US
Mailing Address - Phone:484-363-9189
Mailing Address - Fax:
Practice Address - Street 1:75 LE FORGER COURT
Practice Address - Street 2:
Practice Address - City:CHESTERBROOK
Practice Address - State:PA
Practice Address - Zip Code:19087-1908
Practice Address - Country:US
Practice Address - Phone:484-363-9189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other