Provider Demographics
NPI:1669799565
Name:WEINMUNSON, LINDA GREEN (LMT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GREEN
Last Name:WEINMUNSON
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 1:1536 ORPHEUM AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1465
Mailing Address - Country:US
Mailing Address - Phone:504-837-3690
Mailing Address - Fax:
Practice Address - Street 1:1536 ORPHEUM AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-1465
Practice Address - Country:US
Practice Address - Phone:504-837-3690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-01
Last Update Date:2010-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA4654173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist