Provider Demographics
NPI:1174281943
Name:CHAMBERS, LAPORTIA
Entity Type:Individual
Prefix:
First Name:LAPORTIA
Middle Name:
Last Name:CHAMBERS
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 1:610 GUTHRIE AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38107-2460
Mailing Address - Country:US
Mailing Address - Phone:770-402-8944
Mailing Address - Fax:
Practice Address - Street 1:610 GUTHRIE AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38107-2460
Practice Address - Country:US
Practice Address - Phone:770-402-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date: