Provider Demographics
NPI:1154190312
Name:DOSS MORGAN, LASONIA MONIQUE (LPN)
Entity type:Individual
Prefix:
First Name:LASONIA
Middle Name:MONIQUE
Last Name:DOSS MORGAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1877 SHELDON AVE
Mailing Address - Street 2:
Mailing Address - City:E CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2826
Mailing Address - Country:US
Mailing Address - Phone:216-650-5429
Mailing Address - Fax:
Practice Address - Street 1:1877 SHELDON AVE
Practice Address - Street 2:
Practice Address - City:E CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2826
Practice Address - Country:US
Practice Address - Phone:216-650-5429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH170832164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse