MEDICARE: MEGAN BERNARD LOTR

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1154816494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN BERNARD LOTR

Provider Business Mailing Address
First Line	:	311 VETERANS BLVD STE A
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4726
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 VETERANS BLVD STE A
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4726
Country	:	US
Telephone Number	:	225-380-1896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2018
Last Update Date	:	06/28/2018

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Directions to “ MEGAN BERNARD LOTR” Practice Location

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