MEDICARE: CIERRA LASHAE COX

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	172A00000X	Driver	TU045544	OH
2	374U00000X	Home Health Aide	TU045544	OH
3	171W00000X	Contractor	TU045544

General Provider Information

NPI Number	:	1427892918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIERRA LASHAE COX

Provider Business Mailing Address
First Line	:	130 HARTER AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-5505
Country	:	US
Telephone Number	:	234-425-3694
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 HARTER AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44708-5505
Country	:	US
Telephone Number	:	234-425-3694
Fax Number	:

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

Provider Enumeration Date	:	06/20/2024
Last Update Date	:	12/17/2025

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Directions to “ CIERRA LASHAE COX ” Practice Location

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