Dr. Lori Rae Holtzman
Pediatrician Pediatric Emergency Physician
1920 Kirby Pkwy Ste 204
Germantown
, Tennessee 38138-3697
Dr. Lori Rae Holtzman
Pediatrician Pediatric Emergency Physician
1920 Kirby Pkwy Ste 204
Germantown
, Tennessee 38138-3697
(901) 249-4563
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Lori Rae Holtzman
- 1920 Kirby Pkwy Ste 204
- Germantown, TN
- Zip : 38138-3697
- Fax : (901) 249-4563
- Phone : (901) 350-2639
Second Address
- Dr. Lori Rae Holtzman
- 1920 Kirby Pkwy Ste 204
- Germantown, TN
- Zip : 38138-3697
- Fax : (901) 249-4563
- Phone : (901) 350-2639
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FAQs
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Is Dr. Lori Rae Holtzman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | 31899 | TN |
| Y | 208000000X | Pediatrician | 31899 | TN |
| N | 208000000X | Pediatrician | TNMD31899 | TN |
National Provider Identifier
| NPI | 1023018587 |
|---|---|
| Provider Name | Dr. Lori Rae Holtzman |
| First Address | Germantown, TN 38138-3697 |
| Second Address | Germantown, TN 38138-3697 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2005 |
| Last Update Date | 14/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00121309 | (05) | MS |
| 3496002 | (05) | TN |
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.