Provider Demographics
NPI:1962296194
Name:MCDOWELL, LACORTNEY
Entity type:Individual
Prefix:MS
First Name:LACORTNEY
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2887 SPRING FALLS DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-3463
Mailing Address - Country:US
Mailing Address - Phone:937-722-1741
Mailing Address - Fax:
Practice Address - Street 1:2887 SPRING FALLS DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45449-3463
Practice Address - Country:US
Practice Address - Phone:937-722-1741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTH028107374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide