NPI 1871762070

Kevin Darneil Lasley

Practitioner Lodging Provider Los Angeles, CA

Practice location

Address: 313 E 113th St, Los Angeles, CA 90061-3019
Phone: (323) 418-8113
Fax: (323) 920-7691

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence A3975427 (CA)

Other Lodging providers in California →

Registry record

NPI: 1871762070
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2008
Record last updated: 21 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.