Provider Demographics
NPI:1750629168
Name:REICHER-KAGAN, LALOMA (MSOT)
Entity Type:Individual
Prefix:MS
First Name:LALOMA
Middle Name:
Last Name:REICHER-KAGAN
Suffix:
Gender:F
Credentials:MSOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 ROBERT DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7329
Mailing Address - Country:US
Mailing Address - Phone:843-566-1000
Mailing Address - Fax:
Practice Address - Street 1:580 ROBERT DANIEL DR
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7329
Practice Address - Country:US
Practice Address - Phone:843-566-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4088225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist