Healthcare Provider Details

I. General information

NPI: 1053990093
Provider Name (Legal Business Name): LASHAY ESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1871 MONTANA AVE E
SAINT PAUL MN
55119-4213
US

IV. Provider business mailing address

9265 WARD ST
DETROIT MI
48228-2622
US

V. Phone/Fax

Practice location:
  • Phone: 651-890-7251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3197199
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: