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NPI Code Detail

MEDICARE: MRS. LINDSEY MICHELLE LAMBLIN COTA/L

MEDICARE: MRS. LINDSEY MICHELLE LAMBLIN COTA/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
1224Z00000XOccupational Therapy AssistantOTA0000001643TN

General Provider Information

NPI Number : 1922312123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY MICHELLE LAMBLIN COTA/L
Provider Business Mailing Address
First Line : 4108 RIVERSTONE LN
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918-1892
Country : US
Telephone Number : 865-934-8625
Fax Number :
Provider Business Practice Location Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 865-524-7366
Fax Number : 865-637-4402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2010
Last Update Date : 07/29/2010

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