Provider Demographics
NPI:1912666017
Name:WOODS, LASHANNA R
Entity Type:Individual
Prefix:MS
First Name:LASHANNA
Middle Name:R
Last Name:WOODS
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 1:16812 MEADOWVALE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-3638
Mailing Address - Country:US
Mailing Address - Phone:216-240-2995
Mailing Address - Fax:
Practice Address - Street 1:16812 MEADOWVALE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-3638
Practice Address - Country:US
Practice Address - Phone:216-240-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide