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NPI Code Detail

MEDICARE: LAUREN HIIPAKKA OTR

MEDICARE:   LAUREN  HIIPAKKA  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOTR-1153WY

General Provider Information

NPI Number : 1063884781
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN HIIPAKKA OTR
Provider Business Mailing Address
First Line : 4270 S POPLAR ST
Second Line :
City : CASPER
State : WY
Zip : 82601-6105
Country : US
Telephone Number : 307-333-6200
Fax Number : 307-333-5880
Provider Business Practice Location Address
First Line : 4270 S POPLAR ST
Second Line :
City : CASPER
State : WY
Zip : 82601-6105
Country : US
Telephone Number : 307-333-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 10/16/2019

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Directions to “ LAUREN HIIPAKKA OTR” Practice Location

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