Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 03440 | MD |
NPI | 1326187378 |
---|---|
Provider Name | Dr. Lori M. Cottman |
First Address | Adelphi, MD 20783-4246 |
Second Address | Adelphi, MD 20783-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 31/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
88274901 | CAREFIRST RENDERING # (01) | MD |
M530 | CAREFIRST (01) | MD |
VO6517 | (02) | MD |
W132-0005 | MEMBER # (01) | MD |