Provider Demographics
NPI:1093416927
Name:KNIGHT, LASHANDRIA BELENDA (LPN)
Entity Type:Individual
Prefix:
First Name:LASHANDRIA
Middle Name:BELENDA
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9024 SUNRIDGE CIR APT 517
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120-4739
Mailing Address - Country:US
Mailing Address - Phone:601-983-0521
Mailing Address - Fax:
Practice Address - Street 1:9024 SUNRIDGE CIR APT 517
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120-4739
Practice Address - Country:US
Practice Address - Phone:601-983-0521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP317802164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse