Individual
DR. ANTON ERIKOVICH LOTMAN
Active
Individual
DR. ANTON ERIKOVICH LOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
26134
OR
2084N0400X
Neurology Physician
Primary
ME167400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026822
—
OR
05
—
121920100
—
FL
01
—
1407812365
MEDICARE GROUP NPI
OR
01
—
930635514
TAX ID
OR
01
—
930802343
TAX ID#
OR
01
—
ME167400
FLORIDA MEDICAL LICENSE
FL
01
—
R0000WFBTV
MEDICARE GROUP PIN
OR
Enumeration date
09/07/2005
Last updated
06/24/2025
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