MEDICARE: LAKEETA MONET BARRINGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1144854068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKEETA MONET BARRINGER

Provider Business Mailing Address
First Line	:	4471 GRANADA BLVD APT 412
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-4863
Country	:	US
Telephone Number	:	216-774-4962
Fax Number	:

Provider Business Practice Location Address
First Line	:	3626 E 147TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-4851
Country	:	US
Telephone Number	:	216-658-3626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2020
Last Update Date	:	02/29/2020

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Directions to “ LAKEETA MONET BARRINGER ” Practice Location

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