Provider Demographics
NPI:1922815273
Name:LAWSON, LASHUNDA DENISE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:LASHUNDA
Middle Name:DENISE
Last Name:LAWSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 CARROLLTON PKWY APT 30203
Mailing Address - Street 2:APT. 30203
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-1362
Mailing Address - Country:US
Mailing Address - Phone:214-499-6707
Mailing Address - Fax:
Practice Address - Street 1:1440 CARROLLTON PKWY.
Practice Address - Street 2:APT. 30203
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010
Practice Address - Country:US
Practice Address - Phone:214-499-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX796450163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty