Provider Demographics
NPI:1104414531
Name:LAWRENCE-SLATER, JOY
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:LAWRENCE-SLATER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 PARK AVE UNIT 38
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2754
Mailing Address - Country:US
Mailing Address - Phone:513-373-1409
Mailing Address - Fax:
Practice Address - Street 1:1836 ELM AVE APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-2526
Practice Address - Country:US
Practice Address - Phone:513-373-1409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty