Individual provider · Type 1 NPI
Lee Otis Maryland Sr.
Home Modifications Contractor · Hammond, LA
NPI number
1912185240
Active
Practice location
119 W Green St
Hammond, LA 70403-4807
Fax (775) 254-9828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | HI.0552691 (LA) |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1912185240
Lee Otis Maryland Sr.'s National Provider Identifier is 1912185240, issued on Feb 8, 2008. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Hammond, LA. The record was last updated on Feb 8, 2008.