Individual
LANCE MCLEAN HOTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 636-7225
Mailing address
PO BOX 4778, BLOOMINGTON, IN 47402-4778
(812) 336-1690
(812) 349-1311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
03270
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03270
LICENSE
KY
05
—
200967670
—
IN
05
—
7100076530
—
KY
Enumeration date
05/14/2007
Last updated
03/07/2023
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