Healthcare Provider Details

I. General information

NPI: 1952153595
Provider Name (Legal Business Name): LASHAE RAE SETTERS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2024
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 MADISON AVE
COVINGTON KY
41011-3330
US

IV. Provider business mailing address

1717 MADISON AVE
COVINGTON KY
41011-3330
US

V. Phone/Fax

Practice location:
  • Phone: 859-360-0254
  • Fax: 859-261-0801
Mailing address:
  • Phone: 859-360-0254
  • Fax: 859-261-0801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number2042139
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: