Provider Demographics
NPI:1487892261
Name:MCDOWELL, MEG (LAC, LMT)
Entity type:Individual
Prefix:MS
First Name:MEG
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:GRAFTON
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC, LMT
Mailing Address - Street 1:1500 OAK VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1425
Mailing Address - Country:US
Mailing Address - Phone:510-229-9922
Mailing Address - Fax:510-526-5098
Practice Address - Street 1:1500 OAK VIEW AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:CA
Practice Address - Zip Code:94706-1425
Practice Address - Country:US
Practice Address - Phone:510-229-9922
Practice Address - Fax:510-526-5098
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-01
Last Update Date:2009-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7620171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist