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NPI Code Detail

MEDICARE: MRS. ANITA A TUBRE LOTR

MEDICARE: MRS. ANITA A TUBRE 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
1225X00000XOccupational TherapistZ10523LA

General Provider Information

NPI Number : 1982719373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANITA A TUBRE LOTR
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 05/04/2022

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Directions to “ MRS. ANITA A TUBRE LOTR” Practice Location

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