MEDICARE: LAKITA SAMUELS

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	163W00000X	Registered Nurse	RN456222	OH
2	163WH0200X	Home Health Registered Nurse	RN456222	OH
3	251E00000X	Home Health Agency	RN456222	OH
4	163WC0400X	Case Management Registered Nurse	456222	OH

General Provider Information

NPI Number	:	1871944850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKITA SAMUELS

Provider Business Mailing Address
First Line	:	1606 LACLEDE RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3014
Country	:	US
Telephone Number	:	216-326-0919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1606 LACLEDE RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3014
Country	:	US
Telephone Number	:	216-326-0919
Fax Number	:

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

Provider Enumeration Date	:	06/30/2016
Last Update Date	:	08/23/2019

Similar Medicare Providers

1316722663 — ALEXANDRA FISHER M.S., CCC-SLP
Practice Location Address:

3014 W EUCLID AVE
TAMPA, FL
33629-8953

Practice Phone: 727-637-5070
Practice Fax:

1992917157 — STEVEN J NEIRINK, DPM, PC
Practice Location Address:

3014 SOUTH GENESEE ROAD
BURTON, MI
48519

Practice Phone: 810-715-2500
Practice Fax: 810-715-2524

1790052785 — MR. LARRY EDWARD O'CONNOR RPH
Practice Location Address:

7135 EAST POINT DOUGLAS ROAD SOUTH
COTTAGE GROVE, MN
55016-3014

Practice Phone: 651-459-7015
Practice Fax: 651-459-1922

1497113054 — DINA REPA
Practice Location Address:

1330 MENOMONEE AVE
SOUTH MILWAUKEE, WI
53172-3014

Practice Phone: 414-803-5364
Practice Fax:

1255275103 — NEVAEH COFFEE
Practice Location Address:

4108 LOWDEN RD
SOUTH EUCLID, OH
44121-2317

Practice Phone: 216-466-2864
Practice Fax:

1487261855 — YOUSSEF BENHADDOUCHE
Practice Location Address:

1414 S GREEN RD STE 301
SOUTH EUCLID, OH
44121-3937

Practice Phone: 216-849-5388
Practice Fax: 216-455-7520

Directions to “ LAKITA SAMUELS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.