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Organization

LAWRENCE LOTTENBERG MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE LOTTENBERG M.D. (OWNER)
(561) 799-9559
Entity
Organization

Contact information

Practice address
3375 BURNS RD, SUITE 206, PALM BEACH GARDENS, FL 33410-4349
(561) 799-9559
(561) 799-9577
Mailing address
3375 BURNS RD, SUITE 206, PALM BEACH GARDENS, FL 33410-4349
(561) 799-9559
(561) 799-9577

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
ME0027008
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039175100
FL
Enumeration date
04/11/2016
Last updated
04/11/2016
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