Provider Demographics
NPI:1487989729
Name:MCCOY, LORIE ANNE
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:ANNE
Last Name:MCCOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 MOHIGAN CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1519
Mailing Address - Country:US
Mailing Address - Phone:561-212-8942
Mailing Address - Fax:
Practice Address - Street 1:135 MOHIGAN CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1519
Practice Address - Country:US
Practice Address - Phone:561-212-8942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula