Lois Macdonald, RN

Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Memphis, MI

NPI 1972606309 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1972606309
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License
4704162435 (MI)
Practice address
400 Stoddard Rd
Memphis, MI 48041-1038
Phone
(810) 392-2167
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704162435MIMDAddiction (Substance Use Disorder) Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 4704162435 MI Yes

Addresses

Primary practice location

400 Stoddard Rd
Memphis, MI 48041-1038

Mailing address

400 Stoddard Rd
P.O. Box 41038
Memphis, MI 48041-1038

Other providers in Memphis, MI

All providers in Memphis, MI · Addiction (Substance Use Disorder) Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.