Provider Demographics
NPI:1952407512
Name:BROWN, LASHAWN DELORES (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LASHAWN
Middle Name:DELORES
Last Name:BROWN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:SUNRISE OF SPRINGFIELD
Mailing Address - Street 2:6541 FRANCONIA RD
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1409
Mailing Address - Country:US
Mailing Address - Phone:410-496-5933
Mailing Address - Fax:410-243-9290
Practice Address - Street 1:SUNRISE OF SPRINGFIELD
Practice Address - Street 2:6541 FRANCONIA RD
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1409
Practice Address - Country:US
Practice Address - Phone:410-496-5933
Practice Address - Fax:410-243-9290
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD03518225X00000X
VA0119007326225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist