Provider Demographics
NPI:1528673233
Name:MEANUS, LASHIKA R (NP-C)
Entity type:Individual
Prefix:MRS
First Name:LASHIKA
Middle Name:R
Last Name:MEANUS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 YELLOWTHROAT DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-1365
Mailing Address - Country:US
Mailing Address - Phone:972-762-1299
Mailing Address - Fax:
Practice Address - Street 1:2415 HIGH SCHOOL AVE STE 700
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1879
Practice Address - Country:US
Practice Address - Phone:415-848-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1011780363LG0600X
CA95018428363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology