Kathi Rae Lotterman PA-C

NPI 1043291941 - Physician Assistant - 363A00000X

NPI Details
NPI 1043291941
Gender Female
Enumeration Date 11/08/2005
Last Updated 09/15/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
3355 EAGLE PARK DR NE
SUITE 103
GRAND RAPIDS MI, 49525-7004, US
Phone (616) 942-7400
Fax (616) 942-7405
Business Location
PO BOX 1239
TROY MI, 48099-1239, US
Phone (248) 824-6600
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601001917
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According to our database, Kathi Rae Lotterman PA-C NPI is 1043291941, taxonomy code is 363A00000X and license number is 5601001917, license state is located at Michigan. Kathi Rae Lotterman PA-C physically located at 3355 Eagle Park Dr Ne, Grand Rapids MI, 49525-7004. NPI Number Kathi Rae Lotterman PA-C has the Individual type.

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1043291941 NPI number is provided on an as is basis without warranty of any kind. 1043291941 is maintained by the National Plan & Provider Enumeration System. The contents of Kathi Rae Lotterman PA-C are for informational purposes only.