Provider Demographics
NPI:1083403851
Name:CLAY, ANDREA LASHAE'
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LASHAE'
Last Name:CLAY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 WESTON ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4177
Mailing Address - Country:US
Mailing Address - Phone:517-914-5626
Mailing Address - Fax:517-914-5626
Practice Address - Street 1:1027 WESTON ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4177
Practice Address - Country:US
Practice Address - Phone:517-914-5626
Practice Address - Fax:517-914-5626
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier