Provider Demographics
NPI:1285221861
Name:VEASLEY, LASHONA D
Entity Type:Individual
Prefix:MRS
First Name:LASHONA
Middle Name:D
Last Name:VEASLEY
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 1:6018 SMOKE RANCH RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-3700
Mailing Address - Country:US
Mailing Address - Phone:702-790-2977
Mailing Address - Fax:725-251-6664
Practice Address - Street 1:6018 SMOKE RANCH RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-3700
Practice Address - Country:US
Practice Address - Phone:702-790-2977
Practice Address - Fax:725-251-6664
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner