Dr. Lawrence Lottenberg
Surgical Critical Care
11141 Parkview Plaza Dr Suite 305
Fort Wayne
, Indiana 46845-1713
Dr. Lawrence Lottenberg
Surgical Critical Care
11141 Parkview Plaza Dr Suite 305
Fort Wayne
, Indiana 46845-1713
(260) 458-5664
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About
Features
Specialties
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Dr. Lawrence Lottenberg
- 1234 E Dupont Rd Suite 1
- Fort Wayne, IN
- Zip : 46825-1545
- Fax : (260) 458-5664
- Phone : (260) 373-7854
Second Address
- Dr. Lawrence Lottenberg
- 11141 Parkview Plaza Dr Suite 305
- Fort Wayne, IN
- Zip : 46845-1713
- Fax : (260) 266-2009
- Phone : (800) 633-5331
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | ME27008 | FL |
National Provider Identifier
| NPI | 1346286184 |
|---|---|
| Provider Name | Dr. Lawrence Lottenberg |
| First Address | Fort Wayne, IN 46825-1545 |
| Second Address | Fort Wayne, IN 46845-1713 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 21/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 039175100 | (05) | FL |
| D63010 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.