Provider Demographics
NPI:1386812097
Name:MCCURDY, LAKESHA N (LPN)
Entity type:Individual
Prefix:MISS
First Name:LAKESHA
Middle Name:N
Last Name:MCCURDY
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 1:34 TRIANGLE PARK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3411
Mailing Address - Country:US
Mailing Address - Phone:513-793-6444
Mailing Address - Fax:
Practice Address - Street 1:34 TRIANGLE PARK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3411
Practice Address - Country:US
Practice Address - Phone:513-885-5199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-113384164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse