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Individual

DR. DAVID A LOTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1238 HOLLAND RD, SUITE 103, SUFFOLK, VA 23434-6300
(757) 539-8716
Mailing address
1238 HOLLAND RD, SUITE 103, SUFFOLK, VA 23434-6300
(757) 539-8716

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000298
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9230271
VA
Enumeration date
07/11/2006
Last updated
07/08/2007
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