Individual
LAKITA SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 LACLEDE RD, SOUTH EUCLID, OH 44121-3014
(216) 326-0919
Mailing address
1606 LACLEDE RD, SOUTH EUCLID, OH 44121-3014
(216) 326-0919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN456222
OH
163WC0400X
Case Management Registered Nurse
Primary
456222
OH
163WH0200X
Home Health Registered Nurse
RN456222
OH
251E00000X
Home Health Agency
RN456222
OH
Other
Enumeration date
06/30/2016
Last updated
08/23/2019
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