Individual
DR. JACK LEROY LOYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4572 S HAGADORN RD, SUITE 2A EAST, EAST LANSING, MI 48823-5385
(517) 349-8388
(517) 349-1560
Mailing address
4572 S HAGADORN RD, SUITE 2A EAST, EAST LANSING, MI 48823-5385
(517) 349-8388
(517) 349-1560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005922
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C346250
2
MI
Enumeration date
09/25/2006
Last updated
07/16/2015
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