| Doctor Name: | MS. LOLA MCINTOSH |
| NPI Number: | 1124050018 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 561799 |
| Business Practice Address: | 1113 Laon Ln Desoto, TX - 751157705 |
| Business Phone Number: | 9722962755 |
| Business Fax Number: | 9727098964 |
| Mailing Address: | 1113 Laon Ln, DESOTO |
| State: | TX |
| Postal Code: | 751157705 |
| Phone Number: | 9722962755 |
| Fax Number: | 9727098964 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 561799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |