MEDICARE: LASHER NICHOLSON CEASAR LVN

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	164X00000X	Licensed Vocational Nurse	232394	TX

General Provider Information

NPI Number	:	1790517662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHER NICHOLSON CEASAR LVN

Provider Business Mailing Address
First Line	:	3819 DREYFUS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-4735
Country	:	US
Telephone Number	:	832-792-8181
Fax Number	:

Provider Business Practice Location Address
First Line	:	3819 DREYFUS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-4735
Country	:	US
Telephone Number	:	832-792-8181
Fax Number	:

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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