Provider Demographics
NPI:1811587256
Name:HAWKINS, LASHIA R
Entity Type:Individual
Prefix:
First Name:LASHIA
Middle Name:R
Last Name:HAWKINS
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:PO BOX 2604
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72336-2604
Mailing Address - Country:US
Mailing Address - Phone:870-261-9950
Mailing Address - Fax:870-261-9957
Practice Address - Street 1:185 SFC 768
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-8631
Practice Address - Country:US
Practice Address - Phone:870-261-9950
Practice Address - Fax:870-261-9957
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant