Provider Demographics
NPI:1245841899
Name:LEMUS, SANDRA EUGENIA
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:EUGENIA
Last Name:LEMUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 BRINKBY AVE APT 116
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4430
Mailing Address - Country:US
Mailing Address - Phone:775-445-0816
Mailing Address - Fax:
Practice Address - Street 1:636 BRINKBY AVE APT 116
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4430
Practice Address - Country:US
Practice Address - Phone:775-445-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care