Provider Demographics
NPI:1669036927
Name:UZZELL, LACHARITY EUGENIA FAYE (MS ED)
Entity Type:Individual
Prefix:
First Name:LACHARITY
Middle Name:EUGENIA FAYE
Last Name:UZZELL
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:EUGENIA FAYE
Other - Last Name:UZZELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS ED
Mailing Address - Street 1:2245 GRAND PRIX DR APT B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224-4373
Mailing Address - Country:US
Mailing Address - Phone:317-593-5813
Mailing Address - Fax:
Practice Address - Street 1:2245 GRAND PRIX DR APT B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-4373
Practice Address - Country:US
Practice Address - Phone:317-593-5813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver