Healthcare Provider Details

I. General information

NPI: 1699695684
Provider Name (Legal Business Name): LORI NICHOLE MCGHEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2779 LOCUST ST
DUDLEY PA
16634-1007
US

IV. Provider business mailing address

2779 LOCUST ST
DUDLEY PA
16634-1007
US

V. Phone/Fax

Practice location:
  • Phone: 814-623-5166
  • Fax: 814-624-1544
Mailing address:
  • Phone: 814-623-5166
  • Fax: 814-624-1544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN274613
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: