Individual
LASHAWNDRA PATRICE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
23300 STRATFORD CT, SOUTHFIELD, MI 48033-3301
(313) 806-3074
Mailing address
23300 STRATFORD CT, SOUTHFIELD, MI 48033-3301
(313) 806-3074
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112358
MI
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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