Provider Demographics
NPI:1407081201
Name:VOELKER, ELIZABETH TOMANCIK (LOTR)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:TOMANCIK
Last Name:VOELKER
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9534 DELCOURT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-4122
Mailing Address - Country:US
Mailing Address - Phone:225-926-8880
Mailing Address - Fax:225-928-4122
Practice Address - Street 1:9534 DELCOURT AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-4122
Practice Address - Country:US
Practice Address - Phone:225-926-8880
Practice Address - Fax:225-928-4122
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ10346225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand