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NPI Code Detail

MEDICARE: ANN TUBRE, LOTR LLC

MEDICARE: ANN TUBRE, LOTR LLC
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 TherapistZ10523LA

General Provider Information

NPI Number : 1568579035
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANN TUBRE, LOTR LLC
Provider Business Mailing Address
First Line : 205 CIRCLE DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5305
Country : US
Telephone Number : 318-381-8520
Fax Number : 888-616-5693
Provider Business Practice Location Address
First Line : 205 CIRCLE DR
Second Line :
City : WEST MONROE
State : LA
Zip : 71291-5305
Country : US
Telephone Number : 318-381-8520
Fax Number : 888-616-5693
Authorized Official
Title or Position : PRACTICE MANAGER
Name : KAYLEIGH RUCKER
Credential :
Telephone Number : 318-381-8520
Provider Enumeration Date : 08/23/2006
Last Update Date : 12/19/2024

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Directions to “ANN TUBRE, LOTR LLC ” Practice Location

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