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NPI Code Detail

MEDICARE: LEE ANN LINCOLN COTA/L

MEDICARE:   LEE ANN LINCOLN  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 AssistantOTA3109OH

General Provider Information

NPI Number : 1023307535
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE ANN LINCOLN COTA/L
Provider Business Mailing Address
First Line : 14548 BAYMAN ST NW
Second Line :
City : NORTH LAWRENCE
State : OH
Zip : 44666-9705
Country : US
Telephone Number : 330-428-4122
Fax Number :
Provider Business Practice Location Address
First Line : 14548 BAYMAN ST NW
Second Line :
City : NORTH LAWRENCE
State : OH
Zip : 44666-9705
Country : US
Telephone Number : 330-428-4122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2011
Last Update Date : 04/05/2011

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Directions to “ LEE ANN LINCOLN COTA/L” Practice Location

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