Provider Demographics
NPI:1760023774
Name:MCNEILL, LORONDA
Entity Type:Individual
Prefix:
First Name:LORONDA
Middle Name:
Last Name:MCNEILL
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 1:209 MOSS NECK RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-5200
Mailing Address - Country:US
Mailing Address - Phone:910-618-7496
Mailing Address - Fax:
Practice Address - Street 1:209 MOSS NECK RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-5200
Practice Address - Country:US
Practice Address - Phone:910-618-7496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health