Provider Demographics
NPI:1548943814
Name:LONEY, DAWN M (LPN)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:LONEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1438 DEVEREAUX AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2701
Mailing Address - Country:US
Mailing Address - Phone:215-432-6428
Mailing Address - Fax:
Practice Address - Street 1:1745 N 4TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-3008
Practice Address - Country:US
Practice Address - Phone:215-236-0100
Practice Address - Fax:215-236-7601
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN257107L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse