Provider Demographics
NPI:1861934358
Name:CRAWFORD, LAMONICA STARASIA
Entity type:Individual
Prefix:MRS
First Name:LAMONICA
Middle Name:STARASIA
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAMONICA
Other - Middle Name:STARASIA
Other - Last Name:MCCANTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 MEESE RD
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-3414
Mailing Address - Country:US
Mailing Address - Phone:843-367-5414
Mailing Address - Fax:
Practice Address - Street 1:103 MEESE RD
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-3414
Practice Address - Country:US
Practice Address - Phone:843-367-5414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program