Provider Demographics
NPI:1477217974
Name:KING, LASHAE ALEXANDRIA
Entity Type:Individual
Prefix:
First Name:LASHAE
Middle Name:ALEXANDRIA
Last Name:KING
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 1:4415 EUCLID AVE STE 335
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-3758
Mailing Address - Country:US
Mailing Address - Phone:440-616-6660
Mailing Address - Fax:
Practice Address - Street 1:4415 EUCLID AVE STE 335
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-3758
Practice Address - Country:US
Practice Address - Phone:440-616-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management