Individual
LASHAWNDA STARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
Mailing address
8600 WOODWARD, DETROIT, MI 48202
(313) 875-7601
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
Primary
1041C0700X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
MI
Enumeration date
07/16/2014
Last updated
07/16/2014
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