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Lona Renee Misouria

Marriage & Family Therapist

Behavioral Health & Social Service Providers

4990 Williams Ave, La Mesa, CA 91942-7409

PECOS Enrollment

This provider is enrolled in PECOS as LONA MISOURIA.

Based on the most recent information from CMS, provider Lona Renee Misouria is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1861089880
Provider Type
Individual
Full Name
Misouria, Lona Renee
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/23/2020
Last Updated
12/23/2020

Contact Information

Practice Location

4990 Williams Ave, La Mesa, CA 91942-7409

(619) 668-4265

(619) 668-4264

Mailing Location

8910 Clairemont Mesa Blvd, San Diego, CA 92123-1104

(858) 514-5144

(858) 514-5195

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License AMFT122902 California

Lona Renee Misouria

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Chandarlis, Rosalinda

Long, Charles Anthony

Bakshi, Pooja

Annand, Stacey

Doherty, Maureen Elizabeth

Kohanyi, David Alin

Barth, Kerry L

Mendez, Dulce Yazmin

Lance- Sexton, Amanda

Gibson, Heather Lynn