Provider Demographics
NPI:1477823706
Name:PIGEON, LANA RAE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:RAE
Last Name:PIGEON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 E 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-3117
Mailing Address - Country:US
Mailing Address - Phone:509-952-5153
Mailing Address - Fax:
Practice Address - Street 1:1011 E 32ND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3117
Practice Address - Country:US
Practice Address - Phone:509-952-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 00002143225X00000X
CAOT8984225X00000X
OR991986225X00000X
IDOT 245225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist