Provider Demographics
NPI:1629261557
Name:KING, LASHAWNA KATRICE (CM)
Entity Type:Individual
Prefix:MS
First Name:LASHAWNA
Middle Name:KATRICE
Last Name:KING
Suffix:
Gender:F
Credentials:CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-2402
Mailing Address - Country:US
Mailing Address - Phone:718-930-2731
Mailing Address - Fax:587-200-0330
Practice Address - Street 1:325 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-2402
Practice Address - Country:US
Practice Address - Phone:718-930-2731
Practice Address - Fax:587-200-0330
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001072176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife