Healthcare Provider Details

I. General information

NPI: 1326842824
Provider Name (Legal Business Name): JAZANA C.L LAWSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 WRIGHT AVE
ALLIANCE OH
44601-4460
US

IV. Provider business mailing address

734 MILL CIR APT 45
ALLIANCE OH
44601-5171
US

V. Phone/Fax

Practice location:
  • Phone: 330-880-9865
  • Fax:
Mailing address:
  • Phone: 330-581-0747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: