Provider Demographics
NPI:1437708260
Name:MINTER-THOMAS, LASHON
Entity Type:Individual
Prefix:
First Name:LASHON
Middle Name:
Last Name:MINTER-THOMAS
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 1:1005 LEDGE RD
Mailing Address - Street 2:
Mailing Address - City:MACEDONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44056-1115
Mailing Address - Country:US
Mailing Address - Phone:216-217-6657
Mailing Address - Fax:
Practice Address - Street 1:1005 LEDGE RD
Practice Address - Street 2:
Practice Address - City:MACEDONIA
Practice Address - State:OH
Practice Address - Zip Code:44056-1115
Practice Address - Country:US
Practice Address - Phone:216-217-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider