Individual
LOTFI F MAMLOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6730 ROOSEVELT AVE STE 303, MIDDLETOWN, OH 45005-0017
(513) 874-0486
(513) 280-8868
Mailing address
PO BOX 229, MIAMISBURG, OH 45343-0229
(513) 874-0486
(513) 280-8868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-079488
OH
208M00000X
Hospitalist Physician
35-079488
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200372100
—
IN
05
—
2307702
—
OH
05
—
64037435
—
KY
01
—
P00623424
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
04/19/2017
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