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NPI Code Detail

MEDICARE: LASHAY M AUSTIN MS, OTR/L

MEDICARE:   LASHAY M AUSTIN  MS, 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
1225X00000XOccupational TherapistOT004360GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427245828
Entity Type Code : Individual
Provider Name (Legal Business Name) : LASHAY M AUSTIN MS, OTR/L
Provider Business Mailing Address
First Line : PO BOX 2128
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-7509
Country : US
Telephone Number : 843-319-0592
Fax Number : 404-346-7869
Provider Business Practice Location Address
First Line : 2790 ELKMONT RDG SW
Second Line :
City : ATLANTA
State : GA
Zip : 30331-9434
Country : US
Telephone Number : 843-319-0592
Fax Number : 404-346-7869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2007
Last Update Date : 11/10/2011

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