MEDICARE: MS. ELIZABETH LAMBERT MCLEOD OTR/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
1	225X00000X	Occupational Therapist	1560	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1560	OTHER	SC	OT LICENSE #

General Provider Information

NPI Number	:	1063480911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH LAMBERT MCLEOD OTR/L

Provider Business Mailing Address
First Line	:	4273 WILD TURKEY WAY
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-7317
Country	:	US
Telephone Number	:	843-708-3735
Fax Number	:

Provider Business Practice Location Address
First Line	:	4273 WILD TURKEY WAY
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-7317
Country	:	US
Telephone Number	:	843-708-3735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	08/29/2025

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