Dr Lawrence Lottenberg, MD | |
11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | |
(800) 633-5331 | |
(260) 266-2009 |
Full Name | Dr Lawrence Lottenberg |
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Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 11141 Parkview Plaza Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346286184 | NPI | - | NPPES |
039175100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | ME27008 (Florida) | Primary |
Entity Name | Palm Beach Trauma Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659410652 PECOS PAC ID: 8628311750 Enrollment ID: O20190513002423 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence Lottenberg, MD 1234 E Dupont Rd, Suite 1, Fort Wayne, IN 46825-1545 Ph: (260) 373-7854 | Dr Lawrence Lottenberg, MD 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 Ph: (800) 633-5331 |
Dr. Ian H. Cook, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Veterans Affairs Medical Center, Fort Wayne, IN 46805 Phone: 260-426-5431 | |
Brett J. Guinn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2510 E Dupont Rd Ste 210, Fort Wayne, IN 46825 Phone: 260-458-3710 Fax: 260-458-3714 | |
Dr. Paul Mitchell Bauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Lutheran Hospital, 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Lindsay B Hardley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11050 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 833-724-8326 Fax: 260-425-6845 | |
Dr. Keith David Clancy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804 Phone: 260-458-3610 Fax: 260-458-3611 | |
Dr. Charles Michael Morgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6481 | |
Jeffery A Yoder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845 Phone: 260-484-9611 Fax: 260-484-1004 |