Individual
MRS. LASHANNA A KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5415 HAMMOCK GLEN DR, INDIANAPOLIS, IN 46235-9780
(765) 243-1551
Mailing address
5415 HAMMOCK GLEN DR, INDIANAPOLIS, IN 46235-9780
(765) 243-1551
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
240167361
IN
Other
Enumeration date
04/03/2024
Last updated
05/06/2024
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