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NPI Code Detail

MEDICARE: MRS. T LANETTE WATSON MA CCCA

MEDICARE: MRS. T LANETTE WATSON MA CCCA
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
1231H00000XAudiologist4651LA
2231HA2400XAssistive Technology Practitioner Audiologist4651LA
3231HA2500XAssistive Technology Supplier Audiologist4651LA
4237600000XAudiologist-Hearing Aid Fitter4651LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518960723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. T LANETTE WATSON MA CCCA
Provider Business Mailing Address
First Line : 1000 OCHSNER BLVD
Second Line :
City : COVINGTON
State : LA
Zip : 70433-8107
Country : US
Telephone Number : 985-875-2828
Fax Number : 985-875-2721
Provider Business Practice Location Address
First Line : 1000 OCHSNER BLVD
Second Line :
City : COVINGTON
State : LA
Zip : 70433-8107
Country : US
Telephone Number : 985-875-2828
Fax Number : 985-875-2721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 05/08/2008

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