Individual
PRESTON R LOTZ
Active
Individual
PRESTON R LOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME18198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01267
BCBS
FL
05
—
041932000
—
FL
01
—
239216
AVMED
FL
01
—
270855
AVMED
FL
01
—
P00069488
RAILROAD MEDICARE
FL
01
—
P00451897
RAILROAD MEDICARE
FL
Enumeration date
05/24/2005
Last updated
11/07/2016
Update your record
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