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NPI Code Detail

MEDICARE: MS. LOMYDA MECHON LOFTON-IRVING MSW, LLMSW

MEDICARE: MS. LOMYDA MECHON LOFTON-IRVING MSW, LLMSW
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
1101YM0800XMental Health Counselor6801093784MI

General Provider Information

NPI Number : 1942552617
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LOMYDA MECHON LOFTON-IRVING MSW, LLMSW
Provider Business Mailing Address
First Line : PO BOX 746723
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6723
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 18610 FENKELL ST
Second Line :
City : DETROIT
State : MI
Zip : 48223-2378
Country : US
Telephone Number : 313-723-6000
Fax Number : 313-424-4058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2012
Last Update Date : 06/20/2024

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