Provider Demographics
NPI:1588894554
Name:LEE MCCRORY, MARCI JANE (DC)
Entity type:Individual
Prefix:DR
First Name:MARCI
Middle Name:JANE
Last Name:LEE MCCRORY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:MARCI
Other - Middle Name:JANE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 E MCELROY RD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-3803
Mailing Address - Country:US
Mailing Address - Phone:405-372-6919
Mailing Address - Fax:405-372-3359
Practice Address - Street 1:104 E. MCELROY RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-3803
Practice Address - Country:US
Practice Address - Phone:405-372-6919
Practice Address - Fax:405-372-3359
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor