Healthcare Provider Details

I. General information

NPI: 1518578582
Provider Name (Legal Business Name): LORRAINA DAWN MCGINNIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 A RD
ARTHURDALE WV
26520
US

IV. Provider business mailing address

762 A RD
ARTHURDALE WV
26520
US

V. Phone/Fax

Practice location:
  • Phone: 304-291-3345
  • Fax:
Mailing address:
  • Phone: 304-291-3345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: