MEDICARE: LASHONDA CROWDER

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	253Z00000X	In Home Supportive Care Agency	1831987	OH

General Provider Information

NPI Number	:	1821859836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHONDA CROWDER

Provider Business Mailing Address
First Line	:	19410 MUSKOKA AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-2259
Country	:	US
Telephone Number	:	216-650-8674
Fax Number	:

Provider Business Practice Location Address
First Line	:	19410 MUSKOKA AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-2259
Country	:	US
Telephone Number	:	216-650-8674
Fax Number	:

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

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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Directions to “ LASHONDA CROWDER ” Practice Location

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