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NPI Code Detail

MEDICARE: LAUREN GEARIN COTA/L

MEDICARE: LAUREN GEARIN COTA/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
1224Z00000XOccupational Therapy Assistant2014004089MO

General Provider Information

NPI Number : 1528456860
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN GEARIN COTA/L
Provider Business Mailing Address
First Line : 12012 W 48TH ST
Second Line :
City : SHAWNEE
State : KS
Zip : 66216-1397
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8033 HOLMES RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-2115
Country : US
Telephone Number : 816-363-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2015
Last Update Date : 01/08/2015

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Directions to “ LAUREN GEARIN COTA/L” Practice Location

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