Individual
LASHARN D VINES-GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 CHICAGO ST SE, WASHINGTON, DC 20020-5811
(202) 910-3253
Mailing address
1103 CHICAGO ST SE, WASHINGTON, DC 20020-5811
(202) 910-3253
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
02/28/2023
Last updated
05/14/2025
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