Provider Demographics
NPI:1194441907
Name:MCDONNELL, LAURA MEGAN
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MEGAN
Last Name:MCDONNELL
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 1:104 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1035
Mailing Address - Country:US
Mailing Address - Phone:508-577-0991
Mailing Address - Fax:
Practice Address - Street 1:104 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1035
Practice Address - Country:US
Practice Address - Phone:508-577-0991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula