Provider Demographics
NPI:1316732951
Name:THORNTON, LASHAWNIA
Entity type:Individual
Prefix:
First Name:LASHAWNIA
Middle Name:
Last Name:THORNTON
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 1:20503 CLARE AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-2401
Mailing Address - Country:US
Mailing Address - Phone:216-376-8766
Mailing Address - Fax:216-376-8766
Practice Address - Street 1:20503 CLARE AVE
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-2401
Practice Address - Country:US
Practice Address - Phone:216-376-8766
Practice Address - Fax:216-376-8766
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty