Individual
DR. RICHARD RAOUL LOTENFOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 CELEBRATION PL, SUITE 203, CELEBRATION, FL 34747-5433
(407) 566-1105
(407) 566-1106
Mailing address
410 CELEBRATION PL, SUITE 203, CELEBRATION, FL 34747-5433
(407) 566-1105
(407) 566-1106
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME056288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340019792
MEDICARE RAILROAD
—
Enumeration date
07/19/2005
Last updated
04/06/2008
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