Lashonda McCollum, FNP-BC
Nurse Anesthetist, Certified Registered in Oak Park, MI. Individual provider (NPI-1).
NPI number1164021622
StatusActive
Last updated in NPPESAug 8, 2026
Details
- NPI
- 1164021622
- Entity type
- Individual (NPI-1)
- Name
- Lashonda McCollum
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2020
- Certification date
- Aug 8, 2026
- Last updated
- Aug 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704314731 | MI | Yes |
| 363LF0000X | Nurse Practitioner, Family | 4704314731 | MI |
Other names
- Lashonda Martin (Former Name)
Practice location
25900 Greenfield Rd Ste 140Oak Park, MI 48237-1267
Phone 586-353-5969
Mailing address
16001 W 9 Mile RdSouthfield, MI 48075-4818
Phone 248-849-3000
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