person
Mr. Kevin Darneil Lasley
Lodging Provider in Los Angeles, California
NPI 1871762070

Kevin Darneil Lasley is a Lodging Provider based in Los Angeles, CA. Kevin Darneil Lasley practices in Los Angeles, CA. The NPI Number for Kevin Darneil Lasley is 1871762070 and holds a License No. A3975427 (California).

The current practice location address for Kevin Darneil Lasley is 313 E 113Th St, Los Angeles, CA and can be reached out via phone at 323-418-8113 and via fax at 323-920-7691.

Location: 313 E 113Th St, Los Angeles, CA, 90061-3019
person
Provider Profile Details
NPI Number
1871762070
Provider Name
Kevin Darneil Lasley
Credential
Provider Entity Type
Individual
Gender
Male
Address
313 E 113Th St, Los Angeles, CA, 90061-3019
Phone Number
323-418-8113
Fax Number
323-920-7691
Provider Enumeration Date
02/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
313 E 113Th St
City
State
Zip
90061-3019
Phone Number
323-418-8113
Fax Number
323-920-7691
person
Provider Business Mailing Address Details
Address
313 E 113Th St
City
State
Zip
90061-3019
Phone Number
323-418-8113
Fax Number
323-920-7691
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
License No.
A3975427 (California)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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