Individual
LASHANDA RENEE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6269 STOVER AVE, CINCINNATI, OH 45237-4825
(513) 393-0912
Mailing address
6269 STOVER AVE, CINCINNATI, OH 45237-4825
(513) 393-0912
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN.154239
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10085683
INTEGRITY HOME HEALTH CARE
—
Enumeration date
03/10/2018
Last updated
06/16/2018
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