Healthcare Provider Details

I. General information

NPI: 1386558617
Provider Name (Legal Business Name): DAISY DENISE LAWRENCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26151 LAKE SHORE BLVD APT 602
EUCLID OH
44132-1152
US

IV. Provider business mailing address

26151 LAKE SHORE BLVD APT 602
EUCLID OH
44132-1152
US

V. Phone/Fax

Practice location:
  • Phone: 440-796-4710
  • Fax:
Mailing address:
  • Phone: 440-796-4710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number600335350821
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License NumberTH692248
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: