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NPI Code Detail

MEDICARE: KAREN EILEEN LANEY OTR

MEDICARE: KAREN EILEEN LANEY OTR
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 Therapist4457NC

General Provider Information

NPI Number : 1912211707
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN EILEEN LANEY OTR
Provider Business Mailing Address
First Line : 11216 IVY CREEK TRL
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-6438
Country : US
Telephone Number : 919-810-2345
Fax Number :
Provider Business Practice Location Address
First Line : 10810 SANDY OAK LN
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8386
Country : US
Telephone Number : 919-848-2088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2010
Last Update Date : 08/04/2010

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