Provider Demographics
NPI:1376320903
Name:MCGUIRE, LORI L
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:L
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 WELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:OH
Mailing Address - Zip Code:44081-9651
Mailing Address - Country:US
Mailing Address - Phone:440-259-5542
Mailing Address - Fax:
Practice Address - Street 1:4515 WELLINGTON DR
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:OH
Practice Address - Zip Code:44081-9651
Practice Address - Country:US
Practice Address - Phone:440-259-5542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker