Individual
LANA DUFOUR-KOSACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15 HOSPITAL DR, YORK, ME 03909-1099
(207) 351-2478
(207) 351-2216
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1099
(207) 351-2478
(207) 351-2216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TO4240
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TO4240
LICENSE
ME
Enumeration date
03/02/2022
Last updated
03/02/2022
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