Provider Demographics
NPI:1881017762
Name:FLOYD, LASHAUNDA (LVN)
Entity Type:Individual
Prefix:
First Name:LASHAUNDA
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:SHAUNA
Other - Middle Name:
Other - Last Name:FLOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:5418 W FLINT WAY
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-1136
Mailing Address - Country:US
Mailing Address - Phone:559-470-7304
Mailing Address - Fax:
Practice Address - Street 1:5418 W FLINT WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-1136
Practice Address - Country:US
Practice Address - Phone:559-470-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA178072164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse