Provider Demographics
NPI:1023256146
Name:KAY, LALENE DYSHERE (MT-BC, ACC)
Entity type:Individual
Prefix:PROF
First Name:LALENE
Middle Name:DYSHERE
Last Name:KAY
Suffix:
Gender:F
Credentials:MT-BC, ACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 FAIR ST
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-2305
Mailing Address - Country:US
Mailing Address - Phone:440-376-8742
Mailing Address - Fax:440-826-8069
Practice Address - Street 1:331 FAIR ST
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-2305
Practice Address - Country:US
Practice Address - Phone:440-376-8742
Practice Address - Fax:440-826-8069
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist