Individual
DR. LON C MCCROSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LON MCCROSKEY, M.D.
Contact information
Practice address
5701 W 119TH ST, STE. 331, OVERLAND PARK, KS 66209-3721
(913) 696-1146
Mailing address
6613 WENONGA, SHAWNEE MISSION, KS 66208
(913) 384-3308
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0419116
KS
174400000X
Specialist
R4B94
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204810B
—
KS
05
—
202268629
—
MO
Enumeration date
05/17/2006
Last updated
07/20/2010
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