Provider Demographics
NPI:1396280558
Name:EBY, LAWNDRICKA
Entity type:Individual
Prefix:
First Name:LAWNDRICKA
Middle Name:
Last Name:EBY
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 1:415 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-3305
Mailing Address - Country:US
Mailing Address - Phone:225-335-0575
Mailing Address - Fax:
Practice Address - Street 1:415 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-3305
Practice Address - Country:US
Practice Address - Phone:225-335-0575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health