Individual
LASHANNA ANTOINETTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9664 GULL LAKE DR, INDIANAPOLIS, IN 46239-6892
(317) 250-9829
Mailing address
9664 GULL LAKE DR, INDIANAPOLIS, IN 46239-6892
(317) 250-9829
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
250185741
IN
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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