Provider Demographics
NPI:1922780782
Name:DUPEE, LASHAUN
Entity Type:Individual
Prefix:
First Name:LASHAUN
Middle Name:
Last Name:DUPEE
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 1:5865 LATHROP PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2979
Mailing Address - Country:US
Mailing Address - Phone:859-913-1327
Mailing Address - Fax:
Practice Address - Street 1:5865 LATHROP PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2979
Practice Address - Country:US
Practice Address - Phone:513-258-6842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-02
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRU325181372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty