Provider Demographics
NPI:1043997653
Name:STRONG, LAWANDA DELVINA (NURSE AIDE)
Entity Type:Individual
Prefix:
First Name:LAWANDA
Middle Name:DELVINA
Last Name:STRONG
Suffix:
Gender:F
Credentials:NURSE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 N RIVERFRONT BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-3912
Mailing Address - Country:US
Mailing Address - Phone:312-392-7545
Mailing Address - Fax:
Practice Address - Street 1:1408 N RIVERFRONT BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-3912
Practice Address - Country:US
Practice Address - Phone:312-392-7545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No171000000XOther Service ProvidersMilitary Health Care Provider
No171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No174200000XOther Service ProvidersMeals
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker