Provider Demographics
NPI:1265179121
Name:ALFRED-EDMOND, LASHONDA (PSS)
Entity type:Individual
Prefix:
First Name:LASHONDA
Middle Name:
Last Name:ALFRED-EDMOND
Suffix:
Gender:F
Credentials:PSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 N AVENUE F
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-5044
Mailing Address - Country:US
Mailing Address - Phone:337-514-5065
Mailing Address - Fax:
Practice Address - Street 1:421 N AVENUE F
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-5044
Practice Address - Country:US
Practice Address - Phone:337-514-5065
Practice Address - Fax:844-326-7926
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist