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NPI Code Detail

MEDICARE: LAVERN WHITTER

MEDICARE:   LAVERN  WHITTER
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 TherapistOT9684FL

General Provider Information

NPI Number : 1790963650
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAVERN WHITTER
Provider Business Mailing Address
First Line : 12506 TEMPLE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33412-2913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12506 TEMPLE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33412-2913
Country : US
Telephone Number : 561-714-1864
Fax Number : 561-714-1864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2008
Last Update Date : 02/03/2008

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Directions to “ LAVERN WHITTER ” Practice Location

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