MEDICARE: NASHONDA M LAWRENCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist	2190020897
2	171400000X	Health & Wellness Coach	2190020897	OH

General Provider Information

NPI Number	:	1386571016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASHONDA M LAWRENCE

Provider Business Mailing Address
First Line	:	4293 E 73RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-5768
Country	:	US
Telephone Number	:	216-390-1836
Fax Number	:

Provider Business Practice Location Address
First Line	:	4293 E 73RD ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-5768
Country	:	US
Telephone Number	:	216-390-1836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ NASHONDA M LAWRENCE ” Practice Location

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