La'shon Thedford, LPN - Licensed Vocational Nurse in Mount Clemens, MI

La'shon Thedford, LPN is a Licensed Vocational Nurse based in Mount Clemens, Michigan. La'shon Thedford is licensed to practice in Michigan (license number 4703104399) and her current practice location is 62 Northbound Gratiot Ave, Mount Clemens, Michigan. She can be reached at her office (for appointments etc.) via phone at (586) 468-8983.

NPI number for La'shon Thedford is 1750787164 and her current mailing address is 62 Northbound Gratiot Ave, Mount Clemens, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750787164.

Contact Information

La'shon Thedford, LPN
62 Northbound Gratiot Ave,
Mount Clemens, MI 48043-2310
(586) 468-8983
Not Available



Provider's Profile

Full NameLa'shon Thedford
GenderFemale
SpecialityLicensed Vocational Nurse
Location62 Northbound Gratiot Ave, Mount Clemens, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750787164
  • Provider Enumeration Date: 11/12/2014
  • Last Update Date: 11/13/2014

Medical Identifiers

Medical identifiers for La'shon Thedford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750787164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 4703104399 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. La'shon Thedford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
La'shon Thedford, LPN
62 Northbound Gratiot Ave,
Mount Clemens, MI 48043-2310

Ph: () -
La'shon Thedford, LPN
62 Northbound Gratiot Ave,
Mount Clemens, MI 48043-2310

Ph: (586) 468-8983

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Licensed Vocational Nurse Nurses in Mount Clemens, MI


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