Provider Demographics
NPI:1902289333
Name:LOMZENSKI, ELEANOR BARKER (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:BARKER
Last Name:LOMZENSKI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438
Mailing Address - Country:US
Mailing Address - Phone:985-795-4166
Mailing Address - Fax:985-839-0289
Practice Address - Street 1:709 RIVERSIDE DR.
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438
Practice Address - Country:US
Practice Address - Phone:985-795-4166
Practice Address - Fax:985-839-0289
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2432699Medicaid