Provider Demographics
NPI:1356558100
Name:MCDOWELL, LAWRENCE G
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:G
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2994 SARATOGA CT
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-2673
Mailing Address - Country:US
Mailing Address - Phone:501-835-6995
Mailing Address - Fax:
Practice Address - Street 1:2994 SARATOGA CT
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-2673
Practice Address - Country:US
Practice Address - Phone:501-835-6995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist