Provider Demographics
NPI:1376625756
Name:MCGRAW, LORI E (LPC LICENSED PROFESS)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:E
Last Name:MCGRAW
Suffix:
Gender:F
Credentials:LPC LICENSED PROFESS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5569 S LEWIS
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-7132
Mailing Address - Country:US
Mailing Address - Phone:918-742-6050
Mailing Address - Fax:918-742-8430
Practice Address - Street 1:5569 S LEWIS
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-7132
Practice Address - Country:US
Practice Address - Phone:918-742-6050
Practice Address - Fax:918-742-8430
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health