Healthcare Provider Details

I. General information

NPI: 1902301351
Provider Name (Legal Business Name): MATTHEW LOTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HAMILL RD STE 332
BALTIMORE MD
21210-1813
US

IV. Provider business mailing address

2 HAMILL RD STE 332
BALTIMORE MD
21210-1813
US

V. Phone/Fax

Practice location:
  • Phone: 443-377-1551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD89346
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: