Provider Demographics
NPI:1689431223
Name:WAREN, LASHEDA
Entity Type:Individual
Prefix:
First Name:LASHEDA
Middle Name:
Last Name:WAREN
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 1:11754 CARMEL CREEK RD APT 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6611
Mailing Address - Country:US
Mailing Address - Phone:619-748-9273
Mailing Address - Fax:
Practice Address - Street 1:11754 CARMEL CREEK RD APT 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-6611
Practice Address - Country:US
Practice Address - Phone:619-748-9273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide