1821243643 NPI number — MISS TERRI-LYNN LASHAI MCDONALD RN

Table of content: MISS TERRI-LYNN LASHAI MCDONALD RN (NPI 1821243643)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821243643 NPI number — MISS TERRI-LYNN LASHAI MCDONALD RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCDONALD
Provider First Name:
TERRI-LYNN
Provider Middle Name:
LASHAI
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821243643
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29240-4440
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-898-8888
Provider Business Mailing Address Fax Number:
803-343-0727

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 RICHLAND MEDICAL PARK
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-898-8888
Provider Business Practice Location Address Fax Number:
803-343-0727
Provider Enumeration Date:
11/20/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0809X , with the licence number:  81511 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com