Provider Demographics
NPI:1558658096
Name:TLAWSON HOMECARE LLC
Entity type:Organization
Organization Name:TLAWSON HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOMECARE PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAJUANA
Authorized Official - Middle Name:LAURICE
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-525-0105
Mailing Address - Street 1:150 LOWELL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-1534
Mailing Address - Country:US
Mailing Address - Phone:614-525-0105
Mailing Address - Fax:
Practice Address - Street 1:150 LOWELL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-1534
Practice Address - Country:US
Practice Address - Phone:614-525-0105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRC725452251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health