Provider Demographics
NPI:1285436097
Name:MOORER, LAWANDA RAYNEISHA
Entity type:Individual
Prefix:
First Name:LAWANDA
Middle Name:RAYNEISHA
Last Name:MOORER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 ARTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7454
Mailing Address - Country:US
Mailing Address - Phone:234-788-0672
Mailing Address - Fax:
Practice Address - Street 1:1633 ARTMAN AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7454
Practice Address - Country:US
Practice Address - Phone:234-788-0672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide