| Lara Lynette Niemann, OTR, ATP | |
|
Po Box 4140, Stateline, NV 89449-4140 | |
| (432) 638-8797 | |
| (432) 687-4290 |
| Full Name | Lara Lynette Niemann |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | Po Box 4140, Stateline, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407058886 | NPI | - | NPPES |
| 1407058886 | Medicaid | TX | |
| 1407058886 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 109138 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | OT-2579 (Nevada) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Lynette Niemann, OTR, ATP Po Box 4140, Stateline, NV 89449-4140 Ph: (432) 638-8797 | Lara Lynette Niemann, OTR, ATP Po Box 4140, Stateline, NV 89449-4140 Ph: (432) 638-8797 |
Laurie Kasa, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 Chimney Rock Rd., Stateline, NV 89449 Phone: 775-720-9707 | |
Brandy Nicole Mainord, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 Olypmic Ct Unit B, Stateline, NV 89449 Phone: 916-759-7986 |