Healthcare Provider Details

I. General information

NPI: 1831406339
Provider Name (Legal Business Name): DANA LUZON COVENEY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA LUZON

II. Dates (important events)

Enumeration Date: 09/03/2010
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4266 NORTHLAKE BLVD
PALM BEACH GARDENS FL
33410-6224
US

IV. Provider business mailing address

4266 NORTHLAKE BLVD
PALM BEACH GARDENS FL
33410-6224
US

V. Phone/Fax

Practice location:
  • Phone: 561-627-3552
  • Fax: 561-627-7275
Mailing address:
  • Phone: 561-627-3552
  • Fax: 561-627-7275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY 1641
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: