Individual
LAURIE LOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
701 WILLOW ST, PESHTIGO, WI 54157-1165
(715) 582-3962
Mailing address
701 WILLOW ST, PESHTIGO, WI 54157-1165
(715) 582-3962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40791100
—
WI
Enumeration date
04/04/2008
Last updated
05/22/2019
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