Provider Demographics
NPI:1376139873
Name:NORWOOD, LASCHAWN
Entity Type:Individual
Prefix:
First Name:LASCHAWN
Middle Name:
Last Name:NORWOOD
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 1:1241 SHANNON LN
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-5755
Mailing Address - Country:US
Mailing Address - Phone:937-708-0948
Mailing Address - Fax:
Practice Address - Street 1:1241 SHANNON LN
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-5755
Practice Address - Country:US
Practice Address - Phone:937-708-0948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide