MEDICARE: MS. LAKIESHA ANN SANDERS STNA, CMA

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	171W00000X	Contractor	RZ839882	OH

General Provider Information

NPI Number	:	1659247369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAKIESHA ANN SANDERS STNA, CMA

Provider Business Mailing Address
First Line	:	838 HEATHERSTONE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2543
Country	:	US
Telephone Number	:	513-498-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	838 HEATHERSTONE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-2543
Country	:	US
Telephone Number	:	513-498-5600
Fax Number	:

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

Provider Enumeration Date	:	10/11/2025
Last Update Date	:	10/11/2025

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