Provider Demographics
NPI:1114658507
Name:PRICE, LAWAN LYNETTE
Entity Type:Individual
Prefix:
First Name:LAWAN
Middle Name:LYNETTE
Last Name:PRICE
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 1:10109 DORSEY LN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2568
Mailing Address - Country:US
Mailing Address - Phone:202-491-8895
Mailing Address - Fax:
Practice Address - Street 1:10109 DORSEY LN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2568
Practice Address - Country:US
Practice Address - Phone:202-491-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant