Individual provider · Type 1 NPI
Kevin Darneil Lasley
Lodging Provider · Los Angeles, CA
NPI number
1871762070
Active
Practice location
313 E 113th St
Los Angeles, CA 90061-3019
Fax (323) 920-7691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | A3975427 (CA) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
3 other providers at this address
Other lodging provider providers in Los Angeles
About NPI 1871762070
Kevin Darneil Lasley's National Provider Identifier is 1871762070, issued on Feb 21, 2008. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 21, 2008.