Lashala Sivley

NPI #1225819659 in Portage, Michigan

Provider Information

NPI Number: 1225819659
Entity Type: Individual
Name: Lashala Sivley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Oct 11, 2023
Last Updated: Oct 11, 2023

Practice Location

Address: 5632 ALTEN ST
City: Portage
State: Michigan
ZIP Code: 49024-9502
Phone: (269) 217-9401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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