Individual
GINA MARIE LOTHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
187 MEDICAL PARK DRIVE, BREVARD, NC 28712
(828) 884-9362
Mailing address
69 WILKIE WAY, FLETCHER, NC 28732-9638
(828) 884-9362
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
NC
Other
Enumeration date
07/19/2007
Last updated
07/30/2007
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