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1780454520 NPI number — LYNSEY LORAINE DAVIS OTD, OTR

NPI Number: 1780454520
Health Care Provider/Practitioner: LYNSEY LORAINE DAVIS OTD, OTR

Information about “1780454520” NPI (LYNSEY LORAINE DAVIS OTD, OTR) exists in 1780454520 in HTML format HTML  |  1780454520 in plain Text format TXT  |  1780454520 in PDF (Portable Document Format) PDF  |  1780454520 in an XML format XML  formats.

NPI Number : 1780454520 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780454520",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "LYNSEY",
    "MiddleName": "LORAINE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OTD, OTR",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STRESE",
    "OtherFirstName": "LYNSEY",
    "OtherMiddleName": "LORAINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6418 FISHER RD APT 107",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75214-1612",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-707-8584",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1112 E COPELAND RD STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76011-4910",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-505-2575",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/03/2024",
    "LastUpdateDate": "01/03/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "123784",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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