Lotz, Jill R

Lotz, Jill R is an individual health care provider with primary practice located at 12225 71St St , Kenosha WI 53142-7320. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lotz, Jill R can be contacted via phone (776) 667-2238.

Contact Information

Primary practice address
12225 71St St Kenosha WI 53142-7320
Phone: (776) 667-2238
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6197 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6197 Wisconsin

Profile Details

NPI number 1679963706
LBN Legal business name Lotz, Jill R
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2015
Last updated Feb 6th, 2024 - about 9 months 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 1679963706 NPPES
Wisconsin MEDICAID 100042950

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