Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teresa Lynn Micotto, MD

Individual provider Military Health Care Provider · NPI 1932580388

Teresa Lynn Micotto, MD is a Military Health Care Provider in Jbsa Lackland, Texas. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop Attn: 59 Mdw/sghc
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-9556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Aerospace Medicine Physician (primary) Taxonomy 2083A0100X · Licence 29639 (NE)
Military Health Care Provider Taxonomy 171000000X · Licence 29639 (NE)

Record details

NPI number1932580388
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2015
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

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