Individual
MR. PAUL A LOTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 DARBY RD, HAVERTOWN, PA 19083-4630
(610) 449-0970
(610) 449-9814
Mailing address
510 DARBY RD, HAVERTOWN, PA 19083-4630
(610) 449-0970
(610) 449-9814
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD029079L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055125
AETNA
PA
01
—
2299415000
INDEP. B/C
PA
Enumeration date
06/30/2006
Last updated
07/08/2007
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