Individual
JUDY K LOTTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 W OAK ST, SPARTA, WI 54656-2150
(608) 269-6731
Mailing address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 723-2181
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25090
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30299300
—
WI
Enumeration date
06/23/2005
Last updated
01/04/2021
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