Individual
PAYMAUN M LOTFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14605 POTOMAC BRANCH DR, SUITE 300, WOODBRIDGE, VA 22191-4070
(703) 490-1112
(703) 878-8732
Mailing address
PO BOX 5237, WOODBRIDGE, VA 22194-5237
(703) 490-1112
(703) 878-8732
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101840469
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006401066
—
VA
Enumeration date
09/20/2006
Last updated
10/04/2022
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