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NPI Code Detail

MEDICARE: KAREN S LOTHAMER RN, CNS

MEDICARE:   KAREN S LOTHAMER  RN,  CNS
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
1363L00000XNurse Practitioner70000193AIN

General Provider Information

NPI Number : 1699823492
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN S LOTHAMER RN, CNS
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2710 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5412
Country : US
Telephone Number : 260-481-2700
Fax Number : 260-969-8448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 03/31/2025

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Directions to “ KAREN S LOTHAMER RN, CNS” Practice Location

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