Provider Demographics
NPI:1750997722
Name:MCGRATH, LORI ELLEN
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:ELLEN
Last Name:MCGRATH
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:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:MCCONNELSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43756-0425
Mailing Address - Country:US
Mailing Address - Phone:740-651-7577
Mailing Address - Fax:
Practice Address - Street 1:391 E MCCONNEL AVE APT 2
Practice Address - Street 2:
Practice Address - City:MCCONNELSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43756-1359
Practice Address - Country:US
Practice Address - Phone:740-651-7577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care