Lalita Marie Fleming-Williams

Individual provider Active NPI Case Manager/Care Coordinator · Minneapolis, MN

NPI 1841963345 · NPPES record last updated Jul 29, 2021

Key facts

NPI
1841963345
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
License
1108598 (MN)
Practice address
900 Washburn Ave N
Minneapolis, MN 55411-3556
Phone
(612) 363-4454
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1108598MNMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Irma'S House LLC. Current
since Aug 1, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 1108598 MN Yes

Addresses

Primary practice location

900 Washburn Ave N
Minneapolis, MN 55411-3556

Mailing address

900 Washburn Ave N
Minneapolis, MN 55411-3556
Phone (612) 363-4454

Other names

  • Lalita Marie Moore Professional name

Other providers in Minneapolis, MN

All providers in Minneapolis, MN · Case Manager/Care Coordinator in Minnesota

Sources for this page

Verify at the official NPI Registry.