Provider Demographics
NPI:1619348810
Name:HERRERA ROMERO, LASHAUNA
Entity Type:Individual
Prefix:
First Name:LASHAUNA
Middle Name:
Last Name:HERRERA ROMERO
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 1:7704 RIVERSIDE PKWY APT 103A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7613
Mailing Address - Country:US
Mailing Address - Phone:479-268-1298
Mailing Address - Fax:
Practice Address - Street 1:1549 E 74TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7341
Practice Address - Country:US
Practice Address - Phone:479-276-0353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)