Individual
LASHON CLATRICE STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROSTHETICSPECIALIST
Contact information
Practice address
2760 N GERMANTOWN PKWY, MEMPHIS, TN 38133-8153
(901) 512-0929
Mailing address
2123 DEER RIDGE DR APT 4, MEMPHIS, TN 38134-8905
(901) 801-0976
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
115848
TN
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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