Provider Demographics
NPI:1730808304
Name:STARNES-COUNCIL, LATEKA LASHAWN (PBT-NHA)
Entity type:Individual
Prefix:
First Name:LATEKA
Middle Name:LASHAWN
Last Name:STARNES-COUNCIL
Suffix:
Gender:F
Credentials:PBT-NHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E WESMARK BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150
Mailing Address - Country:US
Mailing Address - Phone:803-236-3645
Mailing Address - Fax:
Practice Address - Street 1:170 E WESMARK BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150
Practice Address - Country:US
Practice Address - Phone:803-236-3645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy