Provider Demographics
NPI:1790107001
Name:WRIGHT, LASHAWN
Entity Type:Individual
Prefix:
First Name:LASHAWN
Middle Name:
Last Name:WRIGHT
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 1:63 E FIRESTONE BLVD APT 5A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-2071
Mailing Address - Country:US
Mailing Address - Phone:330-329-1171
Mailing Address - Fax:
Practice Address - Street 1:63 E FIRESTONE BLVD APT 5A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-2071
Practice Address - Country:US
Practice Address - Phone:330-329-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN362365163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse