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NPI Code Detail

MEDICARE: LARAMIE ASHLEE TESCHER DPM

MEDICARE: LARAMIE ASHLEE TESCHER DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristMED-POD-LIC-170556MT
2213ES0103XFoot & Ankle Surgery PodiatristPOD2025-0002NM

General Provider Information

NPI Number : 1508431545
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARAMIE ASHLEE TESCHER DPM
Provider Business Mailing Address
First Line : PO BOX 843465
Second Line :
City : LOS ANGELES
State : CA
Zip : 90084-3465
Country : US
Telephone Number : 415-645-4525
Fax Number :
Provider Business Practice Location Address
First Line : 3990 AVENUE D
Second Line :
City : BILLINGS
State : MT
Zip : 59102-7531
Country : US
Telephone Number : 406-252-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2021
Last Update Date : 06/09/2026

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