Teresa Lynn Micotto, M.D.
NPI #1932580388 in Jbsa Lackland, Texas
Provider Information
- NPI Number
- 1932580388
- Entity Type
- Individual
- Name
- Teresa Lynn Micotto, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Preventive Medicine - Aerospace Medicine
- Credential
- M.D.
- Enumeration Date
- Jun 11, 2015
- Last Updated
- Oct 10, 2023
Practice Location
- Address
- 1100 WILFORD HALL LOOP
- Address 2
- ATTN: 59 MDW/SGHC
- City
- Jbsa Lackland
- State
- Texas
- ZIP Code
- 78236-5638
- Phone
- (210) 292-9556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Preventive Medicine - Aerospace Medicine — Aerospace Medicine |
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