Provider Demographics
NPI:1871936914
Name:CONE, LUFONDA DELORIS
Entity type:Individual
Prefix:
First Name:LUFONDA
Middle Name:DELORIS
Last Name:CONE
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 1:6505 HEAVENLY MOON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-1255
Mailing Address - Country:US
Mailing Address - Phone:702-633-4368
Mailing Address - Fax:
Practice Address - Street 1:6505 HEAVENLY MOON ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-1255
Practice Address - Country:US
Practice Address - Phone:702-633-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator