Individual provider · Type 1 NPI
Tara Harvey-Gros, LOTR
Specialist · Lafayette, LA
NPI number
1356468151
Active
Practice location
2413 N University Ave
Lafayette, LA 70507-5905
Fax (337) 234-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | OTT.Z11532 (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1356468151
Tara Harvey-Gros, LOTR's National Provider Identifier is 1356468151, issued on Mar 25, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lafayette, LA. The record was last updated on Jul 8, 2007.