Search › Florida › 164W00000X
Lavern Shaw
NPI 1780358564 · on the registry since 2021 · sole proprietor
Practice
- Address
- 7901 Nw 43rd St
Coral Springs, FL 33065 - Phone
- (754) 702-8836
- Fax
- (754) 702-2621
- Organisation at this address
- L S Holistic Care Assisted Living, Llc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida