Provider Demographics
NPI:1124330444
Name:LEA, ALAINA ANN (LOTR)
Entity type:Individual
Prefix:MS
First Name:ALAINA
Middle Name:ANN
Last Name:LEA
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56369 CURRIER LN
Mailing Address - Street 2:
Mailing Address - City:LORANGER
Mailing Address - State:LA
Mailing Address - Zip Code:70446-2749
Mailing Address - Country:US
Mailing Address - Phone:985-878-3695
Mailing Address - Fax:985-878-9781
Practice Address - Street 1:56369 CURRIER LN
Practice Address - Street 2:
Practice Address - City:LORANGER
Practice Address - State:LA
Practice Address - Zip Code:70446-2749
Practice Address - Country:US
Practice Address - Phone:985-878-3695
Practice Address - Fax:985-878-9781
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200398225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics