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NPI Code Detail

MEDICARE: JENNIFER ERIN HICKS LOTR

MEDICARE:   JENNIFER ERIN HICKS  LOTR
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 Therapist340001LA

General Provider Information

NPI Number : 1043140080
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ERIN HICKS LOTR
Provider Business Mailing Address
First Line : 119 JO MAR RD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-5649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 RUE IBERVILLE
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3295
Country : US
Telephone Number : 337-521-7000
Fax Number : 337-521-7149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ JENNIFER ERIN HICKS LOTR” Practice Location

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