Healthcare Provider Details

I. General information

NPI: 1477464774
Provider Name (Legal Business Name): OPULENCE DYNASTY MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 CREEKWOOD DR APT K70
NASHVILLE TN
37207-2571
US

IV. Provider business mailing address

3301 CREEKWOOD DR APT K70
NASHVILLE TN
37207-2571
US

V. Phone/Fax

Practice location:
  • Phone: 910-494-3310
  • Fax:
Mailing address:
  • Phone: 910-494-3310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. DONNA LASCHELLE LAWSON
Title or Position: PRESIDENT
Credential: RN
Phone: 910-494-3310