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Individual

DONNA M LOTZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2614 MASON ST, MADISON, WI 53705-0001
(608) 212-0706
Mailing address
2614 MASON ST, MADISON, WI 53705-3710
(608) 212-0706

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8960-040
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8960-040
PHARMACIST
WI
Enumeration date
11/21/2006
Last updated
12/08/2015
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