MEDICARE: MS. LOIS A. MCCRONE M.A., LPC

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	101YP2500X	Professional Counselor	6401013729	MI
2	101YP2500X	Professional Counselor	65816	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
2	8096LC	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1487934592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LOIS A. MCCRONE M.A., LPC

Provider Business Mailing Address
First Line	:	1750 E GRAND RIVER AVE
Second Line	:	SUITE 103
City	:	EAST LANSING
State	:	MI
Zip	:	48823-4958
Country	:	US
Telephone Number	:	517-333-7113
Fax Number	:	517-333-7125

Provider Business Practice Location Address
First Line	:	1750 E GRAND RIVER AVE
Second Line	:	SUITE 103
City	:	EAST LANSING
State	:	MI
Zip	:	48823-4958
Country	:	US
Telephone Number	:	517-333-7113
Fax Number	:	517-333-7125

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

Provider Enumeration Date	:	08/19/2011
Last Update Date	:	01/07/2015

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