Provider Demographics
NPI:1407547870
Name:THOMAS, LASHAUN MARIE I
Entity Type:Individual
Prefix:MS
First Name:LASHAUN
Middle Name:MARIE
Last Name:THOMAS
Suffix:I
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 1:5902 SAINT MORITZ DR APT 303
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-6465
Mailing Address - Country:US
Mailing Address - Phone:202-718-0012
Mailing Address - Fax:
Practice Address - Street 1:5902 SAINT MORITZ DR APT 303
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-6465
Practice Address - Country:US
Practice Address - Phone:202-718-0012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging