Holtzman, Lori Rae

Holtzman, Lori Rae is an individual health care provider with primary practice located at 2565 Horizon Lake Dr Ste 114 , Memphis TN 38133-8113. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Holtzman, Lori Rae can be contacted via phone (901) 350-2639.

Contact Information

Primary practice address
2565 Horizon Lake Dr Ste 114 Memphis TN 38133-8113
Phone: (901) 350-2639
Fax: (901) 249-4563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 31899 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TNMD31899 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31899 Tennessee

Profile Details

NPI number 1023018587
LBN Legal business name Holtzman, Lori Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Mar 22nd, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1023018587 NPPES
Mississippi MEDICAID 00121309
Mississippi MEDICAID 3496002

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