Individual
DR. CRAIG DAVID LOTTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-5200
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
AJ4147357
MD
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD.203232
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04601070
—
MS
05
—
1893471
—
LA
Enumeration date
01/30/2007
Last updated
11/19/2009
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