Organization
LEWIS KLOTZMAN, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS KLOTZMAN D.P.M. (OWNER)
(410) 532-3070
Entity
Organization
Contact information
Practice address
5922 YORK RD, BALTIMORE, MD 21212-3028
(410) 532-3070
Mailing address
5922 YORK RD, BALTIMORE, MD 21212-3028
(410) 532-3070
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
00953
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429248100
—
MD
Enumeration date
12/12/2007
Last updated
12/12/2007
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