MEDICARE: LAQUITA BOSTON

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	175T00000X	Peer Specialist		OK

General Provider Information

NPI Number	:	1073471918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAQUITA BOSTON

Provider Business Mailing Address
First Line	:	820 NW 122ND ST APT 203
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-7335
Country	:	US
Telephone Number	:	405-761-0931
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 NW 122ND ST APT 203
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73114-7335
Country	:	US
Telephone Number	:	405-761-0931
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

Similar Medicare Providers

1386744845 — DR. HERMINIA D. RODRIGUEZ D.M.D., P.A.
Practice Location Address:

1640 S VOLUSIA AVE
ORANGE CITY, FL
32763-7335

Practice Phone: 386-775-4911
Practice Fax:

1982807889 — H. D. RODRIGUEZ D.M.D. P.A.
Practice Location Address:

1640 S VOLUSIA AVE
ORANGE CITY, FL
32763-7335

Practice Phone: 386-775-4911
Practice Fax:

1528258951 — DR. FRANCIS JACOBS LCSW
Practice Location Address:

7335 HIGHWAY 6 STE 200
MISSOURI CITY, TX
77459

Practice Phone: 713-703-4320
Practice Fax:

1356516694 — TOBIAS DE LUCA
Practice Location Address:

1015 BAILY CT
CARSON CITY, NV
89703-7335

Practice Phone: 775-544-5822
Practice Fax:

1124317730 — HA THI VAN DC
Practice Location Address:

1656 S VOLUSIA AVE
ORANGE CITY, FL
32763-7335

Practice Phone: 386-917-0007
Practice Fax: 386-917-0089

1497037030 — SANTIAGO W CALDERON MD PA
Practice Location Address:

1668 S VOLUSIA AVE
ORANGE CITY, FL
32763-7335

Practice Phone: 386-668-0200
Practice Fax:

Directions to “ LAQUITA BOSTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.