Provider Demographics
NPI:1629880604
Name:PALMERO, LONA DE THEODOSIA (LMT)
Entity type:Individual
Prefix:MS
First Name:LONA
Middle Name:DE THEODOSIA
Last Name:PALMERO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4158 INVERRARY DR APT 303
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4541
Mailing Address - Country:US
Mailing Address - Phone:305-773-6388
Mailing Address - Fax:
Practice Address - Street 1:4158 INVERRARY DR APT 303
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4541
Practice Address - Country:US
Practice Address - Phone:305-773-6388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLM105315225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist