Tera L Lotz
Nurse Practitioner - Pediatrics
5900 Byron Center Ave Sw
Wyoming
, Michigan 49519-9686
Tera L Lotz
Nurse Practitioner - Pediatrics
5900 Byron Center Ave Sw
Wyoming
, Michigan 49519-9686
(616) 252-7200
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Tera L Lotz
- 5900 Byron Center Ave Sw # Mc845
- Wyoming, MI
- Zip : 49519-9686
- Phone : (616) 252-7200
Second Address
- Tera L Lotz
- 5900 Byron Center Ave Sw
- Wyoming, MI
- Zip : 49519-9686
- Phone : (616) 252-5202
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 4704236439 | MI |
National Provider Identifier
| NPI | 1043459167 |
|---|---|
| Provider Name | Tera L Lotz |
| First Address | Wyoming, MI 49519-9686 |
| Second Address | Wyoming, MI 49519-9686 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2009 |
| Last Update Date | 05/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043459167 | (05) | MI |
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.