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NPI Code Detail

MEDICARE: MRS. LARA A PEYTON OTR/L

MEDICARE: MRS. LARA A PEYTON 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
1225X00000XOccupational TherapistKY-R2548KY

General Provider Information

NPI Number : 1841454170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LARA A PEYTON OTR/L
Provider Business Mailing Address
First Line : 1100 E MARKET ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-1838
Country : US
Telephone Number : 502-596-1000
Fax Number : 502-596-1411
Provider Business Practice Location Address
First Line : 1100 E MARKET ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-1838
Country : US
Telephone Number : 502-596-1000
Fax Number : 502-596-1411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 07/16/2008

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Directions to “ MRS. LARA A PEYTON OTR/L” Practice Location

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