Provider Demographics
NPI:1750120895
Name:PERSON, LASHANNA N (CPT)
Entity type:Individual
Prefix:
First Name:LASHANNA
Middle Name:N
Last Name:PERSON
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 GEORGIA AVENUE STE 106
Mailing Address - Street 2:PMB 141
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841
Mailing Address - Country:US
Mailing Address - Phone:706-804-2325
Mailing Address - Fax:
Practice Address - Street 1:336 GEORGIA AVENUE STE 106
Practice Address - Street 2:PMB 141
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841
Practice Address - Country:US
Practice Address - Phone:706-804-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy