NPI 1902458714
Lateyneisha Kayshon Thompson
Practice location
- Address
- 1605 Adler Cir STE a, Portage, IN 46368-6414
- Phone
- (219) 762-3465
- Mailing address
- 6515 Lighthouse Dr APT 202, Portage, IN 46368-5225
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1902458714
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jul 2019
- Record last updated
- 11 Jul 2019
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.