Provider Demographics
NPI:1437318144
Name:LANPHEAR, LORINDA LEE (COTA)
Entity Type:Individual
Prefix:
First Name:LORINDA
Middle Name:LEE
Last Name:LANPHEAR
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 E 67TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-4223
Mailing Address - Country:US
Mailing Address - Phone:253-474-3563
Mailing Address - Fax:253-474-3563
Practice Address - Street 1:1720 E 67TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4223
Practice Address - Country:US
Practice Address - Phone:253-474-3563
Practice Address - Fax:253-474-3563
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOC00000204224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant