MEDICARE: MEAGAN LERA ONACA

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	1382806	TX

General Provider Information

NPI Number	:	1558147728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN LERA ONACA

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	726-202-3039
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 EVERETT STE 130
Second Line	:
City	:	KYLE
State	:	TX
Zip	:	78640-6332
Country	:	US
Telephone Number	:	512-738-8510
Fax Number	:	512-738-8520

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

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	09/05/2023

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Directions to “ MEAGAN LERA ONACA ” Practice Location

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