Lakeisha Jeanece Staton in St Louis - Licensed Practical Nurse
Lakeisha Jeanece Staton - NPI 1669692729
Lakeisha Jeanece Staton is a Licensed Practical Nurse in St Louis, Missouri. Lakeisha Jeanece Staton practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lakeisha Jeanece Staton is 1669692729. The last update date is 2007-07-08.
Lakeisha Jeanece Staton's current location address is 5471 Dr Martin Luther King Drive, St Louis, Missouri. You can contact this provider via phone number 3143675820 and fax number 3143677010. The mailing address for Lakeisha Jeanece Staton is 5471 Dr Martin Luther King Drive, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lakeisha Jeanece Staton |
|---|---|
| Address | 5471 Dr Martin Luther King Drive, St Louis, Missouri |
| Phone Number | 3143675820 |
| Fax Number | 3143677010 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1669692729 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5471 Dr Martin Luther King Drive |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 631124265 |
| Phone Number | 3143675820 |
| Fax Number | 3143677010 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 2006037203 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identifier code assigned to Lakeisha Jeanece Staton by the Centers for Medicare & Medicaid Services?
The Lakeisha Jeanece Staton has been issued the NPI (National Provider Identifier) 1669692729 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Lakeisha Jeanece Staton located?
The Lakeisha Jeanece Staton is located at 5471 Dr Martin Luther King Drive, St Louis, MO 631124265.
What is Lakeisha Jeanece Staton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lakeisha Jeanece Staton's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Lakeisha Jeanece Staton receive its 1669692729 assignment from the Centers for Medicare & Medicaid Services?
The Lakeisha Jeanece Staton was assigned its 1669692729 by the Centers for Medicare & Medicaid Services on 2007-04-30.
When was the information pertaining to Lakeisha Jeanece Staton most recently updated or revised?
The details related to Lakeisha Jeanece Staton, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.