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NPI Code Detail

MEDICARE: VALERIE R LANO COTA

MEDICARE: VALERIE R LANO COTA
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 Assistant2442NM

General Provider Information

NPI Number : 1790956878
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE R LANO COTA
Provider Business Mailing Address
First Line : 69 SAWYER AVE
Second Line :
City : LANCASTER
State : NY
Zip : 14086-1654
Country : US
Telephone Number : 505-860-9937
Fax Number :
Provider Business Practice Location Address
First Line : 8100 PALOMAS AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-5264
Country : US
Telephone Number : 505-857-9216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2008
Last Update Date : 03/17/2008

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Directions to “ VALERIE R LANO COTA” Practice Location

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