Healthcare Provider Details

I. General information

NPI: 1386571016
Provider Name (Legal Business Name): NASHONDA M LAWRENCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4293 E 73RD ST
CLEVELAND OH
44105-5768
US

IV. Provider business mailing address

4293 E 73RD ST
CLEVELAND OH
44105-5768
US

V. Phone/Fax

Practice location:
  • Phone: 216-390-1836
  • Fax:
Mailing address:
  • Phone: 216-390-1836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number2190020897
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number2190020897
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: