Provider Demographics
NPI:1447955885
Name:LAWRENCE, TEMPA MICHELLE
Entity type:Individual
Prefix:
First Name:TEMPA
Middle Name:MICHELLE
Last Name:LAWRENCE
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 1:5643 NICHOLSON DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-3700
Mailing Address - Country:US
Mailing Address - Phone:216-978-2205
Mailing Address - Fax:
Practice Address - Street 1:5643 NICHOLSON DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-3700
Practice Address - Country:US
Practice Address - Phone:216-978-2205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide