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NPI Code Detail

MEDICARE: LISA ANN MCLAUGHLIN COTA

MEDICARE:   LISA ANN MCLAUGHLIN  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 Assistant0131000957VA

General Provider Information

NPI Number : 1811266455
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN MCLAUGHLIN COTA
Provider Business Mailing Address
First Line : HC 61 BOX 149A
Second Line :
City : CASS
State : WV
Zip : 24927-9625
Country : US
Telephone Number : 304-799-4816
Fax Number :
Provider Business Practice Location Address
First Line : HC 61 BOX 149A
Second Line :
City : CASS
State : WV
Zip : 24927-9625
Country : US
Telephone Number : 304-799-4816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2011
Last Update Date : 12/28/2011

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Directions to “ LISA ANN MCLAUGHLIN COTA” Practice Location

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