Provider Demographics
NPI:1376801910
Name:MCDAY, LAVERNE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:LAVERNE
Middle Name:
Last Name:MCDAY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11651 NORBOURNE DR APT 211
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2155
Mailing Address - Country:US
Mailing Address - Phone:513-319-0937
Mailing Address - Fax:
Practice Address - Street 1:11651 NORBOURNE DR APT 211
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2155
Practice Address - Country:US
Practice Address - Phone:513-319-0937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH080274164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse