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TERESA LYNN MICOTTO M.D. NPI 1932580388


NPI Information

NPI: 1932580388
Provider Name: TERESA LYNN MICOTTO, M.D.
Classification: Preventive Medicine - 2083A0100X
Entity Type: Individual

Specialization: Aerospace Medicine

Address:
1100 WILFORD HALL LOOP
ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX
ZIP 78236
Phone: (210) 292-9556
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Teresa Lynn Micotto, M.D. is an aerospace medicine preventive medicine in Jbsa Lackland, TX. The provider is aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. Teresa Lynn Micotto, M.D. NPI is 1932580388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 WILFORD HALL LOOP
ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX
ZIP 78236-638
Phone: (210) 292-9556

The enumeration date for this NPI number is 6/11/2015 and was last updated on 10/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care Provider29639NEBRASKANo
22083A0100XPreventive MedicineAerospace Medicine29639NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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