Provider Demographics
NPI:1760216832
Name:SPENCER, LANESHA DESHAY (DOULA)
Entity type:Individual
Prefix:
First Name:LANESHA
Middle Name:DESHAY
Last Name:SPENCER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-2003
Mailing Address - Country:US
Mailing Address - Phone:231-327-4752
Mailing Address - Fax:
Practice Address - Street 1:2929 7TH ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-2003
Practice Address - Country:US
Practice Address - Phone:231-327-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula