| NPI | 1508372897 |
|---|---|
| Former Name | LAVON LASHANDA WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN681687) |
| 163W00000X Registered Nurse (Licence: NJ 26NR18139900) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-01-10 |