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NPI Code Detail

MEDICARE: MRS. KAREN LESSON OTR/L

MEDICARE: MRS. KAREN LESSON OTR/L
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
1225XP0200XPediatric Occupational Therapist3719CA

General Provider Information

NPI Number : 1841390523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KAREN LESSON OTR/L
Provider Business Mailing Address
First Line : 18674 CAMINITO CANTILENA
Second Line : #251
City : SAN DIEGO
State : CA
Zip : 92128-6127
Country : US
Telephone Number : 858-673-0990
Fax Number :
Provider Business Practice Location Address
First Line : 11665 AVENA PL
Second Line : SUITE 106
City : SAN DIEGO
State : CA
Zip : 92128-2421
Country : US
Telephone Number : 858-673-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2006
Last Update Date : 07/08/2007

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