Provider Demographics
NPI:1982484432
Name:MCDONALD, LADONTE M
Entity Type:Individual
Prefix:
First Name:LADONTE
Middle Name:M
Last Name:MCDONALD
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 1:3610 W 46TH STREET
Mailing Address - Street 2:APT.1
Mailing Address - City:CLEVLENAD
Mailing Address - State:OH
Mailing Address - Zip Code:44102
Mailing Address - Country:US
Mailing Address - Phone:216-855-2485
Mailing Address - Fax:
Practice Address - Street 1:3610 W 46TH STREET
Practice Address - Street 2:APT.1
Practice Address - City:CLEVLENAD
Practice Address - State:OH
Practice Address - Zip Code:44102
Practice Address - Country:US
Practice Address - Phone:216-855-2485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health