Micotto, Teresa Lynn

Micotto, Teresa Lynn is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Attn: 59 Mdw/Sghc, Jbsa Lackland TX 78236-5638. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is her primary health care specialty. Micotto, Teresa Lynn can be contacted via phone (210) 292-9556.

Contact Information

Primary practice address
1100 Wilford Hall Loop Attn: 59 Mdw/Sghc Jbsa Lackland TX 78236-5638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 29639 Nebraska
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 29639 Nebraska

Profile Details

NPI number 1932580388
LBN Legal business name Micotto, Teresa Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2015
Last updated Oct 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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