MEDICARE: LASHAWNA LOVE

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1750008256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHAWNA LOVE

Provider Business Mailing Address
First Line	:	PO BOX 360923
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43236-0923
Country	:	US
Telephone Number	:	614-381-0986
Fax Number	:

Provider Business Practice Location Address
First Line	:	2503 BETHESDA AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-1410
Country	:	US
Telephone Number	:	614-381-0986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2022
Last Update Date	:	10/25/2022

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Directions to “ LASHAWNA LOVE ” Practice Location

Language	Start Address	Practice Location

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