Provider Demographics
NPI:1659708238
Name:BELTON, LAWANDA (CRT)
Entity Type:Individual
Prefix:
First Name:LAWANDA
Middle Name:
Last Name:BELTON
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 COACHMEN CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9322
Mailing Address - Country:US
Mailing Address - Phone:803-673-2232
Mailing Address - Fax:803-233-6252
Practice Address - Street 1:16 COACHMEN CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9322
Practice Address - Country:US
Practice Address - Phone:803-673-2232
Practice Address - Fax:803-233-6252
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3171227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified