IndividualActive
Kevin Lasley
NPI 1871762070 · Lodging Provider · Los Angeles, CA
Provider details
- NPI number
- 1871762070
- Entity type
- Individual
- Primary specialty
- Lodging ProviderOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- A3975427 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
313 E 113th St
Los Angeles, CA 90061-3019
Phone: (323) 418-8113
Fax: (323) 920-7691
Approximate (ZIP-level) locationGet directions
Mailing address
313 E 113th St
Los Angeles, CA 90061-3019
Registry dates
- Enumerated
- 2008-02-21
- Last updated
- 2008-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.