Provider Demographics
NPI:1477847986
Name:LANOUE, CYNTHIA B
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:B
Last Name:LANOUE
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 1:14 LIND ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-2323
Mailing Address - Country:US
Mailing Address - Phone:774-289-7377
Mailing Address - Fax:
Practice Address - Street 1:14 LIND ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-2323
Practice Address - Country:US
Practice Address - Phone:774-289-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA34285164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse