MEDICARE: LAJUANA H BUCHINA RPT

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	225100000X	Physical Therapist	190	AL

General Provider Information

NPI Number	:	1427213818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAJUANA H BUCHINA RPT

Provider Business Mailing Address
First Line	:	1467 LANTANA DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-2142
Country	:	US
Telephone Number	:	205-822-8327
Fax Number	:

Provider Business Practice Location Address
First Line	:	1467 LANTANA DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-2142
Country	:	US
Telephone Number	:	205-822-8327
Fax Number	:

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

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	07/24/2008

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Directions to “ LAJUANA H BUCHINA RPT” Practice Location

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