Individual
DIMITRA MARIA LOTAKIS
Active
Individual
DIMITRA MARIA LOTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01093153A
IN
208600000X
Surgery Physician
4301504246
MI
2086S0102X
Surgical Critical Care Physician
01093153A
IN
2086S0120X
Pediatric Surgery Physician
Primary
2026038079
MO
390200000X
Student in an Organized Health Care Education/Training Program
01093153A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301504246
MI
Other
Enumeration date
06/08/2015
Last updated
08/14/2026
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