Provider Demographics
NPI:1538452511
Name:SALTERS, LASHAE LATRICE (LPN)
Entity type:Individual
Prefix:
First Name:LASHAE
Middle Name:LATRICE
Last Name:SALTERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1865 ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-4747
Mailing Address - Country:US
Mailing Address - Phone:216-624-1404
Mailing Address - Fax:
Practice Address - Street 1:1865 ROXBURY RD
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-4747
Practice Address - Country:US
Practice Address - Phone:216-624-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH122148164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse