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NPI Code Detail

MEDICARE: LORENZO BORTOLOTTI MD

MEDICARE: LORENZO BORTOLOTTI MD
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
1207R00000XInternal Medicine PhysicianK7665TX

General Provider Information

NPI Number : 1215976238
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORENZO BORTOLOTTI MD
Provider Business Mailing Address
First Line : 6060 FAIRMONT PKWY APT 16206
Second Line :
City : PASADENA
State : TX
Zip : 77505-4094
Country : US
Telephone Number : 281-770-7717
Fax Number :
Provider Business Practice Location Address
First Line : 2800 GARTH RD
Second Line :
City : BAYTOWN
State : TX
Zip : 77521-3947
Country : US
Telephone Number : 281-369-8545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 01/05/2023

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Directions to “ LORENZO BORTOLOTTI MD” Practice Location

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