Healthcare Provider Details

I. General information

NPI: 1881017762
Provider Name (Legal Business Name): LASHAUNDA FLOYD LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHAUNA FLOYD LVN

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4862 E CLINTON AVE
FRESNO CA
93703-2873
US

IV. Provider business mailing address

4773 N THORNE AVE
FRESNO CA
93704-2931
US

V. Phone/Fax

Practice location:
  • Phone: 559-691-0555
  • Fax:
Mailing address:
  • Phone: 559-691-0555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number178072
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: