MEDICARE: A C LOTMAN MD PC

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	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ALU0408	OTHER	CO	BLUE SHIELD

General Provider Information

NPI Number	:	1578580254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A C LOTMAN MD PC

Provider Business Mailing Address
First Line	:	8380 ZUNI ST
Second Line	:	SUITE 200
City	:	DENVER
State	:	CO
Zip	:	80221-4778
Country	:	US
Telephone Number	:	303-428-9203
Fax Number	:

Provider Business Practice Location Address
First Line	:	8380 ZUNI ST
Second Line	:	SUITE 200
City	:	DENVER
State	:	CO
Zip	:	80221-4778
Country	:	US
Telephone Number	:	303-428-9203
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	A C LOTMAN
Credential	:	MD
Telephone Number	:	303-428-9203

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	10/31/2007

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