Provider Demographics
NPI:1740443241
Name:SANDERS, LALONNIE LYNN (LPN)
Entity type:Individual
Prefix:MRS
First Name:LALONNIE
Middle Name:LYNN
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:LALONNIE
Other - Middle Name:LYNN
Other - Last Name:BRATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:296 LINCOLN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:MAMMOTH CAVE
Mailing Address - State:KY
Mailing Address - Zip Code:42259-8418
Mailing Address - Country:US
Mailing Address - Phone:270-286-8136
Mailing Address - Fax:
Practice Address - Street 1:296 LINCOLN SCHOOL RD
Practice Address - Street 2:LINCOLN SCHOOL ROAD
Practice Address - City:MAMMOTH CAVE
Practice Address - State:KY
Practice Address - Zip Code:42259-8418
Practice Address - Country:US
Practice Address - Phone:270-286-8136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2018837164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse