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NPI Code Detail

MEDICARE: LAUREN TECCO

MEDICARE:   LAUREN  TECCO
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 Therapist17013NC

General Provider Information

NPI Number : 1285595132
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TECCO
Provider Business Mailing Address
First Line : 507 WAKEFIELD DR APT C
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-3148
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 507 WAKEFIELD DR APT C
Second Line :
City : CHARLOTTE
State : NC
Zip : 28209-3148
Country : US
Telephone Number : 704-285-8207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2025
Last Update Date : 01/15/2026

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Directions to “ LAUREN TECCO ” Practice Location

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