Provider Demographics
NPI:1700554581
Name:JAMES, LASHUNDRA LYNN
Entity Type:Individual
Prefix:
First Name:LASHUNDRA
Middle Name:LYNN
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LASHUNDRA
Other - Middle Name:LYNN
Other - Last Name:WHITE-CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6015 HEARNE AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71108-3803
Mailing Address - Country:US
Mailing Address - Phone:318-213-1389
Mailing Address - Fax:318-213-0922
Practice Address - Street 1:6015 HEARNE AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-3803
Practice Address - Country:US
Practice Address - Phone:318-213-0904
Practice Address - Fax:318-213-0922
Is Sole Proprietor?:No
Enumeration Date:2021-09-05
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator