Provider Demographics
NPI:1215557970
Name:SCRUGGS, LASHONDA ZONA (LPN-M-IV)
Entity Type:Individual
Prefix:MS
First Name:LASHONDA
Middle Name:ZONA
Last Name:SCRUGGS
Suffix:
Gender:F
Credentials:LPN-M-IV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19516 SHELTON DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-2740
Mailing Address - Country:US
Mailing Address - Phone:216-820-1548
Mailing Address - Fax:
Practice Address - Street 1:19516 SHELTON DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-2740
Practice Address - Country:US
Practice Address - Phone:216-820-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151004164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty