Lakeisha Lashae McCullough
Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).
NPI number1396258307
StatusActive
Last updated in NPPESNov 13, 2017
Details
- NPI
- 1396258307
- Entity type
- Individual (NPI-1)
- Name
- Lakeisha Lashae McCullough
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2017
- Last updated
- Nov 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
630 Bercut Dr Ste CSacramento, CA 95811-0110
Phone 916-441-3819
Mailing address
630 Bercut Dr Ste CSacramento, CA 95811-0110
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