Provider Demographics
NPI:1548490162
Name:LASHAWN, TEOMA (DPT)
Entity type:Individual
Prefix:
First Name:TEOMA
Middle Name:
Last Name:LASHAWN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:TEOMA
Other - Middle Name:L
Other - Last Name:LOEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2080 DUKE UNIVERSITY RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3191
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 DUKE HEALTH CARY PL
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6759
Practice Address - Country:US
Practice Address - Phone:855-855-6484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC871014172M00000X
GAPT010423225100000X
CA36785225100000X
NC23069225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No172M00000XOther Service ProvidersMechanotherapist