Provider Demographics
NPI:1457154569
Name:NANDI, LISHA (DOULA)
Entity type:Individual
Prefix:
First Name:LISHA
Middle Name:
Last Name:NANDI
Suffix:
Gender:
Credentials:DOULA
Other - Prefix:
Other - First Name:LACHELLE
Other - Middle Name:YVONNE
Other - Last Name:LOCKHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2355 WESTWOOD BLVD UNIT 878
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2109
Mailing Address - Country:US
Mailing Address - Phone:310-693-3100
Mailing Address - Fax:
Practice Address - Street 1:3412 1/2 E. 7TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023
Practice Address - Country:US
Practice Address - Phone:310-693-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula