Healthcare Provider Details

I. General information

NPI: 1568486181
Provider Name (Legal Business Name): PATRICIA H LOTITO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 WEST LANCASTER AVE
PAOLI PA
19301-1748
US

IV. Provider business mailing address

195 W LANCASTER AVE
PAOLI PA
19301-1748
US

V. Phone/Fax

Practice location:
  • Phone: 484-320-7178
  • Fax: 438-799-6355
Mailing address:
  • Phone: 484-320-7178
  • Fax: 438-799-6355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD043853E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: