Provider Demographics
NPI:1720802671
Name:ALEXANDER, LAMARR D
Entity type:Individual
Prefix:
First Name:LAMARR
Middle Name:D
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 2ND ST NW APT A
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-2254
Mailing Address - Country:US
Mailing Address - Phone:330-800-7554
Mailing Address - Fax:
Practice Address - Street 1:231 2ND ST NW APT A
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-2254
Practice Address - Country:US
Practice Address - Phone:330-800-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty