Individual
ROBERT K LOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2600 STEWART AVE, SUITE 30, WAUSAU, WI 54401-4148
(715) 848-0650
Mailing address
1108 S 17TH AVE, WAUSAU, WI 54401-5709
(715) 845-2800
(715) 845-2855
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41782800
—
WI
Enumeration date
10/10/2006
Last updated
10/10/2008
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