| Doctor Name: | LASHONTE THOMAS-SHAW |
| NPI Number: | 1093042822 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9248129 |
| Business Practice Address: | 4040 Hospital West Dr Austell, GA - 301068117 |
| Business Phone Number: | 4707326739 |
| Business Fax Number: | |
| Mailing Address: | 5192 Olive Branch Cir, POWDER SPRINGS |
| State: | GA |
| Postal Code: | 301273938 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2009 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9248129 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |