Provider Demographics
NPI:1821243643
Name:MCDONALD, TERRI-LYNN LASHAI (RN)
Entity Type:Individual
Prefix:MISS
First Name:TERRI-LYNN
Middle Name:LASHAI
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4440
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29240-4440
Mailing Address - Country:US
Mailing Address - Phone:803-898-8888
Mailing Address - Fax:803-343-0727
Practice Address - Street 1:10 RICHLAND MEDICAL PARK
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-898-8888
Practice Address - Fax:803-343-0727
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC81511163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult