Individual
DR. LORI RAE HOLTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2565 HORIZON LAKE DR STE 114, MEMPHIS, TN 38133-8113
(901) 350-2639
(901) 249-4563
Mailing address
PO BOX 381442, GERMANTOWN, TN 38183-1442
(901) 350-2639
(901) 249-4563
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
31899
TN
208000000X
Pediatrics Physician
Primary
31899
TN
208000000X
Pediatrics Physician
TNMD31899
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121309
—
MS
05
—
3496002
—
TN
Enumeration date
07/27/2005
Last updated
03/22/2022
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