Provider Demographics
NPI:1497169411
Name:MCGLYNN, LORNA LOU (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:LOU
Last Name:MCGLYNN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 WALKERS FERRY CT
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4638
Mailing Address - Country:US
Mailing Address - Phone:804-726-8520
Mailing Address - Fax:
Practice Address - Street 1:585 SOUTHLAKE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-3080
Practice Address - Country:US
Practice Address - Phone:804-897-9056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist