Provider Demographics
NPI:1548971500
Name:MAJOR, LASHANNA M
Entity type:Individual
Prefix:
First Name:LASHANNA
Middle Name:M
Last Name:MAJOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16303 IMPERIAL VALLEY DR APT 1104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3514
Mailing Address - Country:US
Mailing Address - Phone:585-505-1280
Mailing Address - Fax:
Practice Address - Street 1:16303 IMPERIAL VALLEY DR APT 1104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3514
Practice Address - Country:US
Practice Address - Phone:585-505-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management