MEDICARE: LORNA ANN POYER LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801085725	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	832274000	OTHER		MAGELLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255498853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORNA ANN POYER LMSW

Provider Business Mailing Address
First Line	:	7090 W LAWRENCE
Second Line	:
City	:	VERMONTVILLE
State	:	MI
Zip	:	48096-8548
Country	:	US
Telephone Number	:	517-541-1996
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 VANSICKLE DR
Second Line	:	STE B
City	:	CHARLOTTE
State	:	MI
Zip	:	48813-9526
Country	:	US
Telephone Number	:	517-543-1150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	04/04/2016

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Directions to “ LORNA ANN POYER LMSW” Practice Location

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