Provider Demographics
NPI:1619446242
Name:TOWNSEND, LAWANAHA R
Entity Type:Individual
Prefix:
First Name:LAWANAHA
Middle Name:R
Last Name:TOWNSEND
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 1:1510 FORT DAVIS PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6028
Mailing Address - Country:US
Mailing Address - Phone:202-583-6256
Mailing Address - Fax:
Practice Address - Street 1:2608 OVERDALE PL
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-3613
Practice Address - Country:US
Practice Address - Phone:202-271-6853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide