Lana Baukova
Individual provider Active NPI Occupational Therapist · Heathrow, FL
NPI 1306137963 · NPPES record last updated Apr 29, 2011
Key facts
- NPI
- 1306137963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC011832 (PA)
- Practice address
- 1485 International Pkwy
Heathrow, FL 32746-5303 - Phone
- (800) 798-6035
- NPI assigned
- Apr 29, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC011832 | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC011832 | PA | Yes |
Addresses
Primary practice location
1485 International Pkwy
Heathrow, FL 32746-5303
Mailing address
1485 International Pkwy
Heathrow, FL 32746-5303
Phone (800) 798-6035
Other providers in Heathrow, FL
- Robert Babson
- Kaycie Lyn Baker
- Sandra Ballard
- Bryanne Brook Baron
- Sean Barragan
- Sarah Becker
- Anissa Ben
- Danny Dee Bingaman
- Joy Bishop
- Kehoga Blanchard
All providers in Heathrow, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.