# ROBERT J LOTSTEIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356506851
- **Authorized official:** DR. ROBERT J LOTSTEIN M.D. (OWNER)
- **Authorized official phone:** (208) 743-7955

## Contact information

- **Practice address:** 332 5TH ST, LEWISTON, ID 83501-2408
- **Practice address phone:** (208) 743-7955
- **Practice address fax:** (208) 743-7957
- **Mailing address:** 332 5TH ST, LEWISTON, ID 83501-2408
- **Mailing address phone:** (208) 743-7955
- **Mailing address fax:** (208) 743-7957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M6559 | ID | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 07/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003799200 | — | ID |
| 05 | — | 1119023 | — | WA |