Latosha R Lea, LPN
Licensed Practical Nurse in Greensboro, NC. Individual provider (NPI-1).
NPI number1114489754
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1114489754
- Entity type
- Individual (NPI-1)
- Name
- Latosha R Lea
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2462785 | NC | Yes |
Practice location
1508 Avalon RdGreensboro, NC 27401-4028
Phone 336-987-1285
Mailing address
1508 Avalon RdGreensboro, NC 27401-4028
Phone 336-987-1285
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