Provider Demographics
NPI:1336616127
Name:GAYLE, LUTCHIA CASSANDRA (MS)
Entity Type:Individual
Prefix:
First Name:LUTCHIA
Middle Name:CASSANDRA
Last Name:GAYLE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-4085
Mailing Address - Country:US
Mailing Address - Phone:513-284-5269
Mailing Address - Fax:
Practice Address - Street 1:1584 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-4085
Practice Address - Country:US
Practice Address - Phone:513-284-5269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No376J00000XNursing Service Related ProvidersHomemaker