| NPI | 1992757629 |
|---|---|
| Other Name | LON MCCROSKEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: KS 0419116) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO R4B94) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-07-20 |