| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LASEAN DENISE RADWAY | 1487271623 | 2020-07-04 |
Lasean Denise Radway is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487271623. Registration indicates Lasean Denise Radway is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Adult Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Adult Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Lasean Denise Radway APRN, NP-C |
| Practice Office Address | 12727 FEATHERWOOD DR STE 103 HOUSTON, TX US |
| Practice Office Telephone | 7134760270 |
| Mailing Address | 12105 AUBURN SHORES CT PEARLAND, TX 775844703 US |
| Business Telephone | 2403190689 |
| Code | Practice | License No State |
|---|---|---|
| 363LA2200X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Adult Health All Other Specialties & Provider Types Nurse Practitioner Adult Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP145858
TX |