Healthcare Provider Details

I. General information

NPI: 1063320646
Provider Name (Legal Business Name): LAQUNNA A DAWES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 K ST SE
WASHINGTON DC
20019-1163
US

IV. Provider business mailing address

2510 POMEROY RD SE APT 304
WASHINGTON DC
20020-6516
US

V. Phone/Fax

Practice location:
  • Phone: 202-340-1712
  • Fax:
Mailing address:
  • Phone: 202-666-2787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: