Penny Larae Luzadder, OT is a
Occupational Therapist based in Sainte Marie, Illinois. Penny Larae Luzadder is licensed to practice in Illinois (license number 056005088) and her current practice location is
Po Box 185, Sainte Marie, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 455-3396.
NPI number for Penny Larae Luzadder is 1134635808 and her current mailing address is Po Box 185, Sainte Marie, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134635808.
Healthcare Provider's Profile
Full Name | Penny Larae Luzadder |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | Po Box 185, Sainte Marie, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134635808
- Provider Enumeration Date: 12/18/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Penny Larae Luzadder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134635808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 056005088 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Penny Larae Luzadder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Penny Larae Luzadder, OT Po Box 185, Sainte Marie, IL 62459-0185 Ph: (618) 455-3396 | Penny Larae Luzadder, OT Po Box 185, Sainte Marie, IL 62459-0185 Ph: (618) 455-3396 |
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