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NPI Code Detail

MEDICARE: MRS. DONNA B WINGER LOTR

MEDICARE: MRS. DONNA B WINGER 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 TherapistOTT.200215LA

General Provider Information

NPI Number : 1295452803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA B WINGER LOTR
Provider Business Mailing Address
First Line : 6413 NARCISSUS DR
Second Line :
City : GREENWELL SPRINGS
State : LA
Zip : 70739-4452
Country : US
Telephone Number : 504-723-9256
Fax Number :
Provider Business Practice Location Address
First Line : 6413 NARCISSUS DR
Second Line :
City : GREENWELL SPRINGS
State : LA
Zip : 70739-4452
Country : US
Telephone Number : 504-723-9256
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2022
Last Update Date : 10/24/2022

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