Provider Demographics
NPI:1194069252
Name:MCGEE, LAWONIA GAIL
Entity type:Individual
Prefix:MISS
First Name:LAWONIA
Middle Name:GAIL
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAWONIA
Other - Middle Name:GAIL
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2105 N PANNES AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-1344
Mailing Address - Country:US
Mailing Address - Phone:323-592-6628
Mailing Address - Fax:
Practice Address - Street 1:3031 S. VERMONT AVENUE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-3846
Practice Address - Country:US
Practice Address - Phone:323-301-8919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner