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NPI Code Detail

MEDICARE: LAWANDA ISAAC RN

MEDICARE:   LAWANDA  ISAAC  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse447594OH

General Provider Information

NPI Number : 1003770314
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWANDA ISAAC RN
Provider Business Mailing Address
First Line : 56 OLALLA AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-2724
Country : US
Telephone Number : 330-762-6110
Fax Number : 330-253-6810
Provider Business Practice Location Address
First Line : 10 PENFIELD AVE
Second Line :
City : AKRON
State : OH
Zip : 44310-2912
Country : US
Telephone Number : 330-762-6110
Fax Number : 330-253-6810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ LAWANDA ISAAC RN” Practice Location

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