Moore, Lakeshia

Moore, Lakeshia is an sole proprietor health care provider with primary practice located at 311 E Market St , Lima OH 45801-4535. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Moore, Lakeshia can be contacted via phone (419) 222-4474.

Contact Information

Primary practice address
311 E Market St Lima OH 45801-4535
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.161003-M-IV Ohio

Profile Details

NPI number 1720523129
LBN Legal business name Moore, Lakeshia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2016
Last updated Sep 18th, 2019 - about 7 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 1720523129 NPPES
Ohio MEDICAID 0254786

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