Provider Demographics
NPI:1952956179
Name:LENOIR, SA'NAA (TRADITIONAL NATURAL)
Entity Type:Individual
Prefix:
First Name:SA'NAA
Middle Name:
Last Name:LENOIR
Suffix:
Gender:F
Credentials:TRADITIONAL NATURAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 AVONDALE DRIVE SUITE 4
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701
Mailing Address - Country:US
Mailing Address - Phone:980-288-4775
Mailing Address - Fax:
Practice Address - Street 1:1213 AVONDALE DRIVE SUITE 4
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701
Practice Address - Country:US
Practice Address - Phone:980-288-4775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath