Lasheral Chaney Lewis
Technician, Attendant Care Provider in Cedar Hill, TX. Individual provider (NPI-1).
NPI number1902438369
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1902438369
- Entity type
- Individual (NPI-1)
- Name
- Lasheral Chaney Lewis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
808 Tangle Way CtCedar Hill, TX 75104-7818
Phone 469-254-3034
Mailing address
808 Tangle Way CtCedar Hill, TX 75104-7818
Phone 469-254-3034
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