Provider Demographics
NPI:1982206041
Name:MCDONALD, LORNA
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:
Last Name:MCDONALD
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 1:5218 GRANTS FREDERICK
Mailing Address - Street 2:
Mailing Address - City:SOUTH LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45065-1522
Mailing Address - Country:US
Mailing Address - Phone:513-680-5118
Mailing Address - Fax:
Practice Address - Street 1:5218 GRANTS FREDERICK
Practice Address - Street 2:
Practice Address - City:SOUTH LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45065-1522
Practice Address - Country:US
Practice Address - Phone:513-680-5118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide