Laketa Mccormick

NPI Registration Record

Provider / OrganizationNPIDate Certified
LAKETA MCCORMICK14177347572023-09-11

Laketa Mccormick is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417734757. Registration indicates Laketa Mccormick is a provider of services with a specialization in Nursing Service Related Providers, Adult Companion (Adult Companion, ) (Adult Companion, Nursing Service Related Providers)

Entity TypeIndividual
Provider Name Laketa Mccormick
Practice Office Address7 WINCHESTER RD
Practice Office Telephone8039774652
Mailing Address7 WINCHESTER RD
KINGSTREE, SC 295565772 US
HPT Codes
License No
372600000X PRIMARY
Nursing Service Related Providers
Adult Companion
Adult Companion

Adult Companion
Nursing Service Related Providers
OPI Codes
1588345383 MEDICAID SC
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