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Individual

DR. LOUIS R. LOTHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FL. LICENSED MARRIAG

Contact information

Practice address
3734 SAN VISCAYA DR., JACKSONVILLE, FL 32217
(904) 631-9198
Mailing address
3734 SAN VISCAYA DR., JACKSONVILLE, FL 32217
(904) 631-9198

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
3181
106H00000X
Marriage & Family Therapist
Primary
MT1294
FL

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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