Provider Demographics
NPI:1053060434
Name:ROMAIN, LASHANA
Entity Type:Individual
Prefix:
First Name:LASHANA
Middle Name:
Last Name:ROMAIN
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 1:701 PROSPECT AVE APT 323
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3667
Mailing Address - Country:US
Mailing Address - Phone:646-467-0234
Mailing Address - Fax:
Practice Address - Street 1:701 PROSPECT AVE APT 323
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3667
Practice Address - Country:US
Practice Address - Phone:646-467-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator