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Organization
ROBERT J LOTSTEIN
Active
Organization
ROBERT J LOTSTEIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J LOTSTEIN M.D. (OWNER)
(208) 743-7955
Entity
Organization
Contact information
Practice address
332 5TH ST, LEWISTON, ID 83501-2408
(208) 743-7955
(208) 743-7957
Mailing address
332 5TH ST, LEWISTON, ID 83501-2408
(208) 743-7955
(208) 743-7957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M6559
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003799200
—
ID
05
—
1119023
—
WA
Enumeration date
07/23/2008
Last updated
07/23/2008
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