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NPI Code Detail

MEDICARE: SHAWN WENZEL LOTR, CLVT

MEDICARE: SHAWN WENZEL LOTR, CLVT
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
1225XL0004XLow Vision Occupational TherapistOTT.Z11779LA

General Provider Information

NPI Number : 1659086841
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN WENZEL LOTR, CLVT
Provider Business Mailing Address
First Line : 123 STATE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5733
Country : US
Telephone Number : 504-899-4501
Fax Number :
Provider Business Practice Location Address
First Line : 123 STATE ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5733
Country : US
Telephone Number : 504-899-4501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2023
Last Update Date : 01/23/2023

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Directions to “ SHAWN WENZEL LOTR, CLVT” Practice Location

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