Provider Demographics
NPI:1740056381
Name:MCKINNEY, LASHERRY LAJOY
Entity type:Individual
Prefix:
First Name:LASHERRY
Middle Name:LAJOY
Last Name:MCKINNEY
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 1:2676 E 56TH WAY APT 7
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-5037
Mailing Address - Country:US
Mailing Address - Phone:714-768-7756
Mailing Address - Fax:
Practice Address - Street 1:2676 E 56TH WAY APT 7
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-5037
Practice Address - Country:US
Practice Address - Phone:714-768-7756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula