MEDICARE: LANA JOY CARR

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	225X00000X	Occupational Therapist	OTH-001340	AZ

General Provider Information

NPI Number	:	1598519209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANA JOY CARR

Provider Business Mailing Address
First Line	:	12460 E FIREWEED LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-8408
Country	:	US
Telephone Number	:	602-577-0172
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 N ROSEMONT BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2167
Country	:	US
Telephone Number	:	520-325-4800
Fax Number	:

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

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	04/17/2024

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Directions to “ LANA JOY CARR ” Practice Location

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