Wallace, Lolita Lashell

Wallace, Lolita Lashell is an individual health care provider with primary practice located at 6748 Garfield Rd , Ravenna OH 44266-1828. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Wallace, Lolita Lashell can be contacted via phone (216) 323-1877.

Contact Information

Primary practice address
6748 Garfield Rd Ravenna OH 44266-1828
Phone: (216) 323-1877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1710194402
LBN Legal business name Wallace, Lolita Lashell
Credentials MED ASST HHA STNA
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - 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 1710194402 NPPES
Ohio MEDICAID 269385
Ohio MEDICAID T1019

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