Provider Demographics
NPI:1386490100
Name:NORRIS, LASHAWNA (ICF-ACC, NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:LASHAWNA
Middle Name:
Last Name:NORRIS
Suffix:
Gender:F
Credentials:ICF-ACC, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 CROFTON VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1650
Mailing Address - Country:US
Mailing Address - Phone:301-717-2499
Mailing Address - Fax:
Practice Address - Street 1:939 CROFTON VALLEY DR
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1650
Practice Address - Country:US
Practice Address - Phone:301-717-2499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA-3939000171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach