Provider Demographics
NPI:1952163321
Name:LAIR, LINDA MARIE (RRT, RPFT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:LAIR
Suffix:
Gender:F
Credentials:RRT, RPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5642 N HILARY CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-9686
Mailing Address - Country:US
Mailing Address - Phone:131-452-0766
Mailing Address - Fax:
Practice Address - Street 1:5642 N HILARY CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-9686
Practice Address - Country:US
Practice Address - Phone:314-520-7667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO100707227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered