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NPI Code Detail

MEDICARE: MRS. JANET ANN LAMOREE PTA, ATC

MEDICARE: MRS. JANET ANN LAMOREE PTA, ATC
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
1225200000XPhysical Therapy Assistant7819AAZ
2261QA0900XAmputee Clinic/Center454210419AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11417227224OTHERAZNPI, BUSINESS

General Provider Information

NPI Number : 1851547103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET ANN LAMOREE PTA, ATC
Provider Business Mailing Address
First Line : 2022 E SMOKE TREE RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-2757
Country : US
Telephone Number : 480-993-5672
Fax Number : 480-892-2646
Provider Business Practice Location Address
First Line : 2022 E SMOKE TREE RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-2757
Country : US
Telephone Number : 480-993-5672
Fax Number : 480-892-2646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2008
Last Update Date : 01/26/2012

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