Provider Demographics
NPI:1588360671
Name:LAWRENCE, ARI DEAMONTA
Entity type:Individual
Prefix:MR
First Name:ARI
Middle Name:DEAMONTA
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 7TH ST NW APT 56
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3537
Mailing Address - Country:US
Mailing Address - Phone:202-768-2035
Mailing Address - Fax:
Practice Address - Street 1:1710 7TH ST NW APT 56
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3537
Practice Address - Country:US
Practice Address - Phone:202-768-2035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant