Provider Demographics
NPI:1043904683
Name:STENSON, LASHEENA
Entity Type:Individual
Prefix:
First Name:LASHEENA
Middle Name:
Last Name:STENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1574 HENTHORNE DR STE D
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-3921
Mailing Address - Country:US
Mailing Address - Phone:419-250-6415
Mailing Address - Fax:
Practice Address - Street 1:1574 HENTHORNE DR STE D
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-3921
Practice Address - Country:US
Practice Address - Phone:419-250-6415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH470501163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse