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NPI Code Detail

MEDICARE: DIANA MICHELE SAUL STEWART LOTR

MEDICARE:   DIANA MICHELE SAUL STEWART  LOTR
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
1171W00000XContractorZ11570LA
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1871837195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA MICHELE SAUL STEWART LOTR
Provider Business Mailing Address
First Line : 12629 SHERBROOK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-6651
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12629 SHERBROOK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-6651
Country : US
Telephone Number : 504-909-4379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2012
Last Update Date : 12/04/2025

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Directions to “ DIANA MICHELE SAUL STEWART LOTR” Practice Location

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