Provider Demographics
NPI:1710492475
Name:HOWARD-COX, LASEAN M
Entity Type:Individual
Prefix:MRS
First Name:LASEAN
Middle Name:M
Last Name:HOWARD-COX
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 1:16012 CARLISLE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-1408
Mailing Address - Country:US
Mailing Address - Phone:313-221-3626
Mailing Address - Fax:313-521-1399
Practice Address - Street 1:16012 CARLISLE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1408
Practice Address - Country:US
Practice Address - Phone:313-221-3626
Practice Address - Fax:323-521-1399
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-04
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program