Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANITA LASHAWN POLK
Active Sole ProprietorSHANITA LASHAWN POLK is a Clinical Medical Laboratory healthcare provider located in LOUISVILLE, Kentucky. NPI 1932543683 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · LOUISVILLE, KY
Registration Details
- NPI Number
- 1932543683
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2013 (13.341775648173 yrs)
- Last Updated
- May 9, 2013
- License
-
017585 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3411 SUMAC RDLOUISVILLE, KY, 402163336Browse KY providers · Browse ZIP 40216
- Phone
- 5025725058
- Fax
- 5026145739
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.