Provider Demographics
NPI:1801430681
Name:MCNAIR, LASHANDRA (RDN)
Entity type:Individual
Prefix:MS
First Name:LASHANDRA
Middle Name:
Last Name:MCNAIR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:LASHANDRA
Other - Middle Name:
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 E WOODROW WILSON AVE
Mailing Address - Street 2:NFS/MOVE PROGRAM
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5116
Mailing Address - Country:US
Mailing Address - Phone:601-362-4471
Mailing Address - Fax:
Practice Address - Street 1:23 SYLWOOD PL
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39209-9755
Practice Address - Country:US
Practice Address - Phone:662-607-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered