Healthcare Provider Details

I. General information

NPI: 1255019956
Provider Name (Legal Business Name): LAWRENCE EMODI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3104 BRUCE PL SE APT 203
WASHINGTON DC
20020-2951
US

IV. Provider business mailing address

3104 BRUCE PL SE APT 203
WASHINGTON DC
20020-2951
US

V. Phone/Fax

Practice location:
  • Phone: 202-341-6155
  • Fax:
Mailing address:
  • Phone: 202-341-6155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: