Provider Demographics
NPI:1952803744
Name:POWELL, LOIS S (PHLEBOTOMIST)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:S
Last Name:POWELL
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 BIENVENUE AVE
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-4703
Mailing Address - Country:US
Mailing Address - Phone:504-208-9899
Mailing Address - Fax:
Practice Address - Street 1:5801 BIENVENUE AVE
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-4703
Practice Address - Country:US
Practice Address - Phone:504-208-9899
Practice Address - Fax:504-208-3388
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide