Ifetayo Jada Nandi Lawrence

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

7520 Forest Blvd
North Lauderdale, FL 33068-1333

Phone

(954) 513-8972

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1386360766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 FOREST BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330681333",
            "telephone_number": "954-513-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 FOREST BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330681333",
            "telephone_number": "954-513-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "IFETAYO",
        "middle_name": "JADA NANDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Laguerre
• Elyn Eliezer Lanfranco Delgado, MD
• Marie B Latouche, NP-C
• Lakosha Moesha Lavia
• Kadean Tishaun Lawal, ATC
• LBK Helping Hearts Home Health
• LD ABA, Inc
• Jahnee Lee
• Brandon Lewis, PHARM. D
• Esther Marie Liceaga

• Phlebotomy Technician in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Phlebotomy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.