Provider Demographics
NPI:1225632169
Name:LAWHORN, DONTEYAH
Entity Type:Individual
Prefix:
First Name:DONTEYAH
Middle Name:
Last Name:LAWHORN
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 1:727 FRANKLIN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2905
Mailing Address - Country:US
Mailing Address - Phone:412-628-7568
Mailing Address - Fax:
Practice Address - Street 1:727 FRANKLIN AVE APT 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2905
Practice Address - Country:US
Practice Address - Phone:412-628-7568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty