Individual
DR. TAMARA LEVIN LOTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N BROADWAY ST, WEINBERG SUITE 2242, BALTIMORE, MD 21287-0019
(410) 614-6330
Mailing address
PO BOX 64478, BALTIMORE, MD 21264-4478
(410) 955-2660
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
36117267
IL
207ZP0101X
Anatomic Pathology Physician
Primary
D68046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415686200
—
MD
Enumeration date
07/16/2007
Last updated
02/11/2013
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