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Individual
LAURENCE H LOTZ
Active
Individual
LAURENCE H LOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C38426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C384260
BLUE SHIELD OF CA PIN
CA
05
—
00C384260
—
CA
01
—
4122978
AETNA PIN
—
01
—
724593
FIRST HEALTH PIN
—
Enumeration date
06/01/2005
Last updated
09/26/2011
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