Individual
LASHELLE M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2330 S DIXON RD, KOKOMO, IN 46902-6411
(765) 455-5400
Mailing address
2330 S DIXON RD, KOKOMO, IN 46902-6411
(765) 455-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008739A
IN
Other
Enumeration date
01/23/2019
Last updated
03/17/2021
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