Michael, Kendra Lashawn

Michael, Kendra Lashawn is an individual health care provider with primary practice located at 16260 Airline Highway , Prairieville LA 70769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Michael, Kendra Lashawn can be contacted via phone (225) 761-5211.

Contact Information

Primary practice address
16260 Airline Highway Prairieville LA 70769
Phone: (225) 761-5211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X BP1-0026312 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.202902 Louisiana

Profile Details

NPI number 1154525731
LBN Legal business name Michael, Kendra Lashawn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Nov 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154525731 NPPES
Mississippi MEDICAID 01630219
Mississippi Other 3851657285
Mississippi MEDICAID 1886114

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