Provider Demographics
NPI:1922705987
Name:LANSDOWN, JAVONNA I
Entity type:Individual
Prefix:MISS
First Name:JAVONNA
Middle Name:I
Last Name:LANSDOWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 NORRIS ST
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22611-1078
Mailing Address - Country:US
Mailing Address - Phone:571-331-6290
Mailing Address - Fax:
Practice Address - Street 1:408 NORRIS ST
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-1078
Practice Address - Country:US
Practice Address - Phone:571-331-6290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer