Provider Demographics
NPI:1982943874
Name:ADAMS, LECHANDA C
Entity Type:Individual
Prefix:
First Name:LECHANDA
Middle Name:C
Last Name:ADAMS
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 1:2110 S SANTA FE AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-2822
Mailing Address - Country:US
Mailing Address - Phone:405-314-3896
Mailing Address - Fax:
Practice Address - Street 1:2110 S SANTA FE AVE APT 101
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-2822
Practice Address - Country:US
Practice Address - Phone:405-314-3896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator