Provider Demographics
NPI:1962681064
Name:WEBB, LASHUNG DENISE (RN, PNCC)
Entity Type:Individual
Prefix:MRS
First Name:LASHUNG
Middle Name:DENISE
Last Name:WEBB
Suffix:
Gender:F
Credentials:RN, PNCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 W VINE ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53205-1530
Mailing Address - Country:US
Mailing Address - Phone:414-640-1724
Mailing Address - Fax:414-342-1651
Practice Address - Street 1:2124 W VINE ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53205-1530
Practice Address - Country:US
Practice Address - Phone:414-640-1724
Practice Address - Fax:414-342-1651
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WC0400X163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44018300OtherPROVIDER NUMBER