Lottman, Jerome Andrew

Lottman, Jerome Andrew is an individual health care provider with primary practice located at 4106 Columns Dr Se , Marietta GA 30067-9105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lottman, Jerome Andrew can be contacted via phone (770) 952-6964.

Contact Information

Primary practice address
4106 Columns Dr Se Marietta GA 30067-9105
Phone: (770) 952-6964
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN112885 Georgia

Profile Details

NPI number 1467420208
LBN Legal business name Lottman, Jerome Andrew
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1467420208 NPPES
Georgia Other RN112885 RN LICENSE NUMBER

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