Lotz, Richard Michael

Lotz, Richard Michael is an individual health care provider with primary practice located at 55 Coburg Rd , Eugene OR 97401-2433. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lotz, Richard Michael can be contacted via phone (541) 485-8111.

Contact Information

Primary practice address
55 Coburg Rd Eugene OR 97401-2433
Fax: (541) 342-6379
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 095006272N1FNPPP Oregon

Profile Details

NPI number 1922096015
LBN Legal business name Lotz, Richard Michael
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jan 11th, 2023 - 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 1922096015 NPPES
Oregon MEDICAID 150641

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