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NPI Code Detail

MEDICARE: MS. LORRIE ELIZABETH MCCARTY

MEDICARE: MS. LORRIE ELIZABETH MCCARTY
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
1104100000XSocial WorkerL2435376MI

General Provider Information

NPI Number : 1497194997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORRIE ELIZABETH MCCARTY
Provider Business Mailing Address
First Line : 8218 KENSINGTON BLVD
Second Line : APT 605
City : DAVISON
State : MI
Zip : 48423-2999
Country : US
Telephone Number : 810-496-5332
Fax Number :
Provider Business Practice Location Address
First Line : 1040 W BRISTOL RD
Second Line :
City : FLINT
State : MI
Zip : 48507-5516
Country : US
Telephone Number : 810-869-8552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2013
Last Update Date : 06/17/2026

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