Individual
SARAH LAINE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3858 VALLEY FORGE ST APT A, FORT IRWIN, CA 92310-2501
(760) 386-9175
Mailing address
3858 VALLEY FORGE ST APT A, FORT IRWIN, CA 92310-2501
(760) 386-9175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L44141
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L44121
LPN LICENSE
AR
Enumeration date
10/04/2007
Last updated
10/04/2007
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