Lottenberg, Lawrence

Lottenberg, Lawrence is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Suite 305, Fort Wayne IN 46845-1713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Lottenberg, Lawrence can be contacted via phone (800) 633-5331.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Suite 305 Fort Wayne IN 46845-1713
Fax: (260) 266-2009
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME27008 Florida

Profile Details

NPI number 1346286184
LBN Legal business name Lottenberg, Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 21st, 2015 - about 10 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 1346286184 NPPES
Florida MEDICAID 039175100

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