Individual provider · Type 1 NPI

Yvonne Tantaneisha Youngblood-Laster, LPN

Licensed Practical Nurse · Detroit, MI

NPI number 1508737578 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Mailing address

38 S Highland St
Mount Clemens, MI 48043-2140

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703119329 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1508737578

Yvonne Tantaneisha Youngblood-Laster, LPN's National Provider Identifier is 1508737578, issued on Sep 15, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 15, 2025.