Provider Demographics
NPI:1720856693
Name:DANIEL, LASHEIRA CHERISSE
Entity Type:Individual
Prefix:MRS
First Name:LASHEIRA
Middle Name:CHERISSE
Last Name:DANIEL
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 1:5551 S WHITE MOUNTAIN ROAD
Mailing Address - Street 2:UNIT 2 BOX 397
Mailing Address - City:SHOW LOW
Mailing Address - State:AZ
Mailing Address - Zip Code:85901
Mailing Address - Country:US
Mailing Address - Phone:405-406-9442
Mailing Address - Fax:
Practice Address - Street 1:9941 TEXAS LN
Practice Address - Street 2:
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-0521
Practice Address - Country:US
Practice Address - Phone:405-406-9442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)