Provider Demographics
NPI:1578353124
Name:BOYD, LASHAE JANELL
Entity type:Individual
Prefix:
First Name:LASHAE
Middle Name:JANELL
Last Name:BOYD
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 1:252 N GOULD RD
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1188
Mailing Address - Country:US
Mailing Address - Phone:614-323-6965
Mailing Address - Fax:
Practice Address - Street 1:175 FAIRWAY BLVD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-2099
Practice Address - Country:US
Practice Address - Phone:614-323-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator