Shanita Lashawn Polk
NPI #1932543683 in Louisville, Kentucky
Provider Information
- NPI Number
- 1932543683
- Entity Type
- Individual
- Name
- Shanita Lashawn Polk
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 24, 2013
- Last Updated
- May 9, 2013
Practice Location
- Address
- 3411 SUMAC RD
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40216-3336
- Phone
- (502) 572-5058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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