Provider Demographics
NPI:1538660345
Name:COX, LASHANNA JILLIAN
Entity Type:Individual
Prefix:
First Name:LASHANNA
Middle Name:JILLIAN
Last Name:COX
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 1:13003 PAYTON DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1907
Mailing Address - Country:US
Mailing Address - Phone:240-651-9009
Mailing Address - Fax:
Practice Address - Street 1:13003 PAYTON DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1907
Practice Address - Country:US
Practice Address - Phone:240-651-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant