Provider Demographics
NPI:1851982680
Name:RORIE, LAKESHIA SHARVON
Entity Type:Individual
Prefix:
First Name:LAKESHIA
Middle Name:SHARVON
Last Name:RORIE
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 1:8208 TEMPLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-6402
Mailing Address - Country:US
Mailing Address - Phone:240-565-9377
Mailing Address - Fax:
Practice Address - Street 1:2900 NEWTON ST NE APT 507
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2960
Practice Address - Country:US
Practice Address - Phone:202-470-8438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant