Provider Demographics
NPI:1689221251
Name:PERRY-RAWLS, LASHAUNDA (RN,BSN)
Entity Type:Individual
Prefix:
First Name:LASHAUNDA
Middle Name:
Last Name:PERRY-RAWLS
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26380 DRAKEFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-1907
Mailing Address - Country:US
Mailing Address - Phone:216-612-2911
Mailing Address - Fax:
Practice Address - Street 1:26380 DRAKEFIELD AVE
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-1907
Practice Address - Country:US
Practice Address - Phone:216-612-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN390633163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse