Individual
SHAMIKA MCCOWAN-LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
44 WOODWIND CT, WENTZVILLE, MO 63385-5555
(636) 980-6807
Mailing address
44 WOODWIND CT, WENTZVILLE, MO 63385-5555
(636) 980-6807
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2009010108
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851133056
PRIVATE PAY, LONG TERM CARE INSURANCE
MO
Enumeration date
01/04/2021
Last updated
01/04/2021
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