Provider Demographics
NPI:1831317874
Name:NANCE, LEKITA LAMONA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:LEKITA
Middle Name:LAMONA
Last Name:NANCE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1111 E 145TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-3605
Mailing Address - Country:US
Mailing Address - Phone:216-541-1992
Mailing Address - Fax:216-510-3499
Practice Address - Street 1:2000 LEE RD STE 215
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2559
Practice Address - Country:US
Practice Address - Phone:216-541-1992
Practice Address - Fax:216-510-3499
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHPN.105775-IV164W00000X
OH0027350207QA0505X
OHLE-00033125363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine