Provider Demographics
NPI:1013517556
Name:HOCKADAY, LASHAUN FRANCES
Entity Type:Individual
Prefix:
First Name:LASHAUN
Middle Name:FRANCES
Last Name:HOCKADAY
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 1:1443 E 92ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5007
Mailing Address - Country:US
Mailing Address - Phone:718-419-2465
Mailing Address - Fax:
Practice Address - Street 1:8038 211TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1013
Practice Address - Country:US
Practice Address - Phone:844-344-4453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY461824084Medicaid