Individual
KARELYN E LOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 NECTARINE ST, FERNANDINA BEACH, FL 32034-4724
(904) 548-1860
(904) 277-7283
Mailing address
PO BOX 517, FERNANDINA BEACH, FL 32035-0517
(904) 548-1800
(904) 277-7286
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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