Individual
MS. LOLA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1113 LAON LN, DESOTO, TX 75115-7705
(972) 296-2755
(972) 709-8964
Mailing address
1113 LAON LN, DESOTO, TX 75115-7705
(972) 296-2755
(972) 709-8964
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
561799
TX
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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