MEDICARE: DR. LORI M. COTTMAN D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	03440	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	88274901	OTHER	MD	CAREFIRST RENDERING #
2	W132-0005	OTHER	MD	MEMBER #
3	M530	OTHER	MD	CAREFIRST

General Provider Information

NPI Number	:	1326187378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI M. COTTMAN D.C.

Provider Business Mailing Address
First Line	:	7411 RIGGS RD
Second Line	:	SUITE 328
City	:	ADELPHI
State	:	MD
Zip	:	20783-4246
Country	:	US
Telephone Number	:	301-328-0762
Fax Number	:	301-328-0767

Provider Business Practice Location Address
First Line	:	7411 RIGGS RD
Second Line	:	SUITE 328
City	:	ADELPHI
State	:	MD
Zip	:	20783-4246
Country	:	US
Telephone Number	:	301-328-0762
Fax Number	:	301-328-0767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	03/31/2011

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