Provider Demographics
NPI:1629201835
Name:SHARON, LEXI DAWN
Entity Type:Individual
Prefix:
First Name:LEXI
Middle Name:DAWN
Last Name:SHARON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEXI
Other - Middle Name:SHARON
Other - Last Name:ROSALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1838 MARIETTA DR APT 1
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-2340
Mailing Address - Country:US
Mailing Address - Phone:859-433-5486
Mailing Address - Fax:
Practice Address - Street 1:1838 MARIETTA DR APT 1
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-2340
Practice Address - Country:US
Practice Address - Phone:859-433-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide