Individual
LASHAWN MCCREARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1469 E 172ND ST, CLEVELAND, OH 44110-2926
(216) 804-7238
Mailing address
1469 E 172ND ST, CLEVELAND, OH 44110-2926
(216) 804-7238
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
3747P1801X
Personal Care Attendant
1831241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3764652
DODD
OH
05
—
3764652
—
OH
05
—
4239094
—
OH
Enumeration date
07/17/2020
Last updated
07/17/2020
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