Most Relevant Information
Provider Data
| NPI Number: | 1003236928 |
| Provider Name: | LARISHA THOMAS L.P.N |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 155337 |
Most Important Dates
| Enumeration Date: | 04/17/2014 |
| Last Updated: | 04/17/2014 |
Provider Practice Location
1878 E 37TH ST
LORAIN
OH
440552508
Practice Location Phone/Fax
| Phone: | 4403963736 |
| Fax: |
Provider Mailing Location
1878 E 37TH ST
LORAIN
OH
440552508
Provider Mailing Phone/Fax
| Phone: | 4403963736 |
| Fax: |