MEDICARE: LORRAINE E MCKINNEY DPM PLLC

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	213E00000X	Podiatrist	1799	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1487837183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORRAINE E MCKINNEY DPM PLLC

Provider Business Mailing Address
First Line	:	PO BOX 38228
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77238-8228
Country	:	US
Telephone Number	:	281-402-3561
Fax Number	:	281-936-0303

Provider Business Practice Location Address
First Line	:	5751 BLYTHEWOOD ST STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-5404
Country	:	US
Telephone Number	:	281-402-3561
Fax Number	:	281-936-0303

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. LORRAINE ELIZABETH MCKINNEY
Credential	:	DPM
Telephone Number	:	281-402-3561

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	05/10/2023

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